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General NPI Number Information
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NPI Number | 1073449005
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Entity Type | Individual
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Provider Name | MRS. TERESA RENEE NUGENT
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Gender | Female
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVENUE
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City | APO
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State | AA
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Zip | 28310
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Country | US
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Telephone | 910-432-9865
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Fax |
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Provider Business Mailing Address
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Address Line | 134 GLOBEMASTER AVE
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City | FORT BRAGG
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State | NC
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Zip | 28307-1568
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Country | US
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Telephone | 910-432-9865
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 141501
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License Number State | NC
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