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General NPI Number Information
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NPI Number | 1902152739
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Entity Type | Individual
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Provider Name | JOHN CHARLES TIMMES M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 8538 E SAN MIGUEL AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-6763
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Country | US
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Telephone | 480-941-4899
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Fax | 480-664-1620
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Provider Business Mailing Address
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Address Line | 8538 E SAN MIGUEL AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-6763
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Country | US
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Telephone | 480-941-4899
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Fax | 480-664-1620
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 11836
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License Number State | AZ
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