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General NPI Number Information
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NPI Number | 1811253693
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Entity Type | Organization
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Legal Business Name | TIMKO HEARING CARE, P.L.
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 844 N STONE ST STE 206
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City | DELAND
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State | FL
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Zip | 32720-3208
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Country | US
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Telephone | 386-736-7192
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Fax | 386-736-8520
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Provider Business Mailing Address
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Address Line | 844 N STONE ST STE 206
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City | DELAND
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State | FL
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Zip | 32720-3208
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Country | US
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Telephone | 386-736-7192
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Fax | 386-736-8520
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES ROBERT TIMKO
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Credential | CCC-A
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Telephone | 386-736-7192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number | AY393
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License Number State | FL
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