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General NPI Number Information
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NPI Number | 1679587182
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Entity Type | Individual
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Provider Name | TERESA A. TIMMONS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 2206 N JOHN REDDITT DR
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City | LUFKIN
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State | TX
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Zip | 75904-1776
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Country | US
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Telephone | 936-671-4351
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Fax | 936-671-4321
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Provider Business Mailing Address
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Address Line | 2206 N JOHN REDDITT DR
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City | LUFKIN
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State | TX
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Zip | 75904-1776
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Country | US
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Telephone | 936-671-4351
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Fax | 936-671-4321
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 21748
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 29421
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5750
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License Number State | ND
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