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General NPI Number Information
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NPI Number | 1508948498
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Entity Type | Individual
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Provider Name | TIMOTHY GERARD VOLM D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 2000 S MAIN ST
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City | FAIRFIELD
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State | IA
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Zip | 52556-9572
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Country | US
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Telephone | 641-472-4141
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Fax | 641-469-3516
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Provider Business Mailing Address
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Address Line | 2000 S MAIN ST
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City | FAIRFIELD
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State | IA
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Zip | 52556-9572
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Country | US
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Telephone | 641-472-4141
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Fax | 641-469-3516
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3764
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License Number State | IA
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