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General NPI Number Information
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NPI Number | 1629007943
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Entity Type | Organization
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Legal Business Name | TIMOTHY RHYME MD LLC
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 525 ROUTE 73 S STE 106
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City | MARLTON
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State | NJ
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Zip | 08053-9631
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Country | US
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Telephone | 856-507-9320
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Fax | 856-507-9327
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Provider Business Mailing Address
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Address Line | 525 ROUTE 73 S STE 106
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City | MARLTON
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State | NJ
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Zip | 08053-9631
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Country | US
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Telephone | 856-507-9320
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. TIMOTHY LAMAR RHYME
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Credential | MD
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Telephone | 856-507-9320
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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 | MAO61190
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License Number State | NJ
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