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General NPI Number Information
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NPI Number | 1770101073
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Entity Type | Individual
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Provider Name | TIMOTHY BITNER DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 07/09/2022
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Provider Practice Location Address
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Address Line | 111 E FOREST ST STE C
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City | BRIGHAM CITY
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State | UT
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Zip | 84302-2127
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Country | US
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Telephone | 435-257-1601
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Fax |
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Provider Business Mailing Address
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Address Line | 5035 GARLAND LN N APT H
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City | PLYMOUTH
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State | MN
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Zip | 55446-2461
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Country | US
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Telephone |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 12801573-9921
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License Number State | UT
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