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General NPI Number Information
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NPI Number | 1871131797
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Entity Type | Organization
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Legal Business Name | TIM'S TRIM INC.
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 25 BERMAR PARK
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City | ROCHESTER
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State | NY
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Zip | 14624
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Country | US
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Telephone | 585-429-6270
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Fax | 585-429-6355
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Provider Business Mailing Address
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Address Line | 25 BERMAR PARK
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City | ROCHESTER
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State | NY
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Zip | 14624
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Country | US
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Telephone | 585-429-6270
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Fax | 585-429-6355
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TIMOTHY A MILLER
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Credential |
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Telephone | 585-429-6270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WV0202X
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Taxonomy Name | Vehicle Modifications Contractor
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License Number |
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License Number State |
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