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General NPI Number Information
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NPI Number | 1033478037
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Entity Type | Individual
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Provider Name | JANET RACHEL TERLOUW M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 101 E WOOD ST
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City | SPARTANBURG
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State | SC
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Zip | 29303-3040
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Country | US
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Telephone | 864-560-6690
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Fax |
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Provider Business Mailing Address
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Address Line | 700 E MOREHEAD ST STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28202-2742
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Country | US
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Telephone | 704-334-7800
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | LL35685
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TRN17184
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35685
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License Number State | SC
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