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General NPI Number Information
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NPI Number | 1942329925
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Entity Type | Individual
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Provider Name | TIMOTHY R. MERTZ PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 7277 NC HIGHWAY 42W 208
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City | RALEIGH
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State | NC
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Zip | 27603-7528
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Country | US
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Telephone | 919-773-4086
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Fax | 919-773-4087
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Provider Business Mailing Address
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Address Line | 1620 KENDALL HILL RD
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City | WILLOW SPRING
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State | NC
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Zip | 27592-9069
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | P14288
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License Number State | NC
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