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General NPI Number Information
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NPI Number | 1659366920
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Entity Type | Individual
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Provider Name | TIMOTHY R BUDNIK DO
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Gender | Male
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 41 COMMERCE PARK DR
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City | WESTERVILLE
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State | OH
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Zip | 43082-8348
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Country | US
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Telephone | 614-797-3277
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Fax | 614-794-9154
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Provider Business Mailing Address
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Address Line | 41 COMMERCE PARK DR
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City | WESTERVILLE
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State | OH
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Zip | 43082-8348
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Country | US
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Telephone | 614-797-3277
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Fax | 614-794-9154
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 34006540B
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License Number State | OH
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