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General NPI Number Information
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NPI Number | 1639254709
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Entity Type | Individual
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Provider Name | TIMOTHY J MCCUE M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1510 S RESERVE ST
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City | MISSOULA
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State | MT
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Zip | 59801-4756
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Country | US
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Telephone | 406-540-4117
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Fax |
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Provider Business Mailing Address
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Address Line | 629D LOWTHER RD
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City | LEWISBERRY
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State | PA
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Zip | 17339-9527
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Country | US
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Telephone | 303-914-8800
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Fax |
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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 | 10429
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 10429
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MED-PHYS-LIC-10429
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License Number State | MT
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