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General NPI Number Information
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NPI Number | 1821667833
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Entity Type | Individual
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Provider Name | CATHERINE MARIE TIMBERLAKE NP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 3022 EASTWAY DR STE 1-3
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City | CHARLOTTE
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State | NC
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Zip | 28205-5642
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Country | US
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Telephone | 704-251-8228
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Fax | 980-549-3830
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 600
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City | NASHVILLE
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State | TN
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Zip | 37205-5250
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Country | US
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Telephone | 888-987-1151
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 5015464
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License Number State | NC
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