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Individual
TIMOTHY JOHN MCAULIFFE
Active
Individual
TIMOTHY JOHN MCAULIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
636
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-0649146
VISION SERVICE PLAN TAXID
AZ
01
—
AZ0636
EYEMED PROVIDER #
AZ
Enumeration date
05/08/2007
Last updated
03/07/2023
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