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General NPI Number Information
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NPI Number | 1518041334
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Entity Type | Organization
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Legal Business Name | TIMS HOME MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 199 DORA AVE W
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City | BREMERTON
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State | WA
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Zip | 98312-3657
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Country | US
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Telephone | 360-782-1922
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Fax | 360-782-2255
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Provider Business Mailing Address
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Address Line | PO BOX 3256
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City | BREMERTON
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State | WA
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Zip | 98310-0441
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Country | US
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Telephone | 360-782-1922
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Fax | 360-782-2255
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TIMOTHY JOHN NESHEM
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Credential |
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Telephone | 360-782-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 602185162
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License Number State | WA
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