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General NPI Number Information
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NPI Number | 1922280601
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Entity Type | Individual
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Provider Name | TIMOTHY IANNONE DO
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Gender | Male
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 1 CALIFORNIA ST STE 2300
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-5424
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Country | US
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Telephone | 800-997-6196
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Fax | 415-504-1367
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Provider Business Mailing Address
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Address Line | 1 CALIFORNIA ST STE 2300
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-5424
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Country | US
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Telephone | 800-997-6196
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Fax | 415-504-1367
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 15542
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25026
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036142890
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C0883
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 61777
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License Number State | MN
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N4488
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 67626-21
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License Number State | WI
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2017000003
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License Number State | MO
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6120
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License Number State | OK
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 314367
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License Number State | NY
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO-06140
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License Number State | IA
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CDR.0001926
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License Number State | CO
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Taxonomy #13
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4941
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License Number State | TN
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Taxonomy #14
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 009909
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License Number State | AZ
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Taxonomy #15
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS12475
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License Number State | FL
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