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Individual
TARA LYNN TIMMERMAN
Active
Individual
TARA LYNN TIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
214284
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02193066
—
NY
Enumeration date
01/25/2006
Last updated
10/15/2014
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