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General NPI Number Information
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NPI Number | 1881323194
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Entity Type | Individual
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Provider Name | EMMA MAE TIMMINS
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Gender | Female
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 5201 GREAT AMERICA PKWY STE 230
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City | SANTA CLARA
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State | CA
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Zip | 95054-1122
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Country | US
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Telephone | 303-205-7088
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 SHARPLESS ST
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City | LA HABRA
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State | CA
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Zip | 90631-2432
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Country | US
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Telephone | 502-224-4726
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 128195
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License Number State | CA
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