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General NPI Number Information
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NPI Number | 1881857951
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Entity Type | Individual
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Provider Name | TIMOTHY CASPERSON DPM
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Gender | Male
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 1020 RIVERWOOD CT STE 220
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City | CONROE
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State | TX
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Zip | 77304-2974
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Country | US
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Telephone | 936-756-9191
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Fax | 936-756-9197
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Provider Business Mailing Address
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Address Line | 1020 RIVERWOOD CT STE 220
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City | CONROE
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State | TX
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Zip | 77304-2974
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Country | US
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Telephone | 936-756-9191
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Fax | 936-756-9197
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1858
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1858
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License Number State | TX
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