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General NPI Number Information
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NPI Number | 1720391196
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Entity Type | Individual
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Provider Name | TIMOTHY ALLEN HEPWORTH MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 08/06/2010
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Provider Practice Location Address
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Address Line | 522 LEWISBERRY RD
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City | NEW CUMBERLAND
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State | PA
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Zip | 17070-2313
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Country | US
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Telephone | 717-909-2373
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8585
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City | HARRISBURG
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State | PA
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Zip | 17105-8585
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Country | US
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Telephone | 717-909-2313
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 440654
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301045641
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License Number State | MI
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