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General NPI Number Information
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NPI Number | 1710117221
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Entity Type | Individual
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Provider Name | TIMOTHY A NORDLOFF MD, DMD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 546 ABBOTT ST
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City | SALINAS
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State | CA
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Zip | 93901-4326
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Country | US
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Telephone | 831-247-3934
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Fax | 831-783-1219
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Provider Business Mailing Address
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Address Line | 9391 HOLT RD
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City | CARMEL
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State | CA
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Zip | 93923-8577
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Country | US
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Telephone | 408-655-8069
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | A184371
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 107661
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License Number State | CA
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