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General NPI Number Information
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NPI Number | 1578855151
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Entity Type | Individual
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Provider Name | TIM LEKIC M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2011
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 46100 WASHINGTON ST
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City | LA QUINTA
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State | CA
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Zip | 92253-2042
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Country | US
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Telephone | 760-340-0528
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Fax | 760-674-1590
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Provider Business Mailing Address
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Address Line | 3421 CONCORD RD
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City | YORK
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State | PA
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Zip | 17402-9001
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Country | US
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Telephone | 717-851-1405
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Fax | 717-851-6969
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 01076241A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD458093
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License Number State | PA
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