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General NPI Number Information
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NPI Number | 1669109930
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Entity Type | Individual
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Provider Name | TIMBERLIE JEANE ADAMS RN
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Gender | Female
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 5050 COUNTRY RD 472
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City | OXFORD
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State | FL
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Zip | 34484
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Country | US
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Telephone | 352-689-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 149 KINGS BLVD
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City | LEESBURG
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State | FL
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Zip | 34748-8933
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Country | US
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Telephone | 352-661-6409
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 42175
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License Number State | WV
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