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General NPI Number Information
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NPI Number | 1750389649
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Entity Type | Individual
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Provider Name | TIMOTHY WAYNE STREMMEL D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 708 E 10TH ST
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City | ANNISTON
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State | AL
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Zip | 36207-4756
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Country | US
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Telephone | 256-238-9991
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Fax | 256-238-9931
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Provider Business Mailing Address
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Address Line | 708 E 10TH ST
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City | ANNISTON
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State | AL
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Zip | 36207-4756
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Country | US
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Telephone | 256-238-9991
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Fax | 256-238-9931
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 178
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 178
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License Number State | AL
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