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General NPI Number Information
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NPI Number | 1003370404
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Entity Type | Individual
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Provider Name | TERRI R YINGLING LSA
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Gender | Female
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 5301 ALPHA RD # 33
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City | DALLAS
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State | TX
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Zip | 75240-4355
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Country | US
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Telephone | 407-982-4876
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Fax | 407-650-2754
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Provider Business Mailing Address
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Address Line | 7575 DR PHILLIPS BLVD STE 155
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City | ORLANDO
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State | FL
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Zip | 32819-7220
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Country | US
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Telephone | 407-982-4876
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Fax | 407-650-2754
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 187816
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | SA00847
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State | TX
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