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General NPI Number Information
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NPI Number | 1063992550
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Entity Type | Individual
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Provider Name | TERESA PALUSZCYK BARNWELL MD
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Gender | Female
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 13232 N 14TH PL
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City | PHOENIX
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State | AZ
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Zip | 85022-4901
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Country | US
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Telephone | 602-863-9922
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9818
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City | PHOENIX
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State | AZ
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Zip | 85068-9818
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Country | US
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Telephone | 602-978-5800
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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 | 2086H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Surgery) Physician
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License Number | 23032
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License Number State | AZ
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