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General NPI Number Information
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NPI Number | 1093796567
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Entity Type | Individual
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Provider Name | TERESA LEA TURGEON PA
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Gender | Female
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 141 INDUSTRIAL AVE
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City | AZLE
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State | TX
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Zip | 76020-2901
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Country | US
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Telephone | 817-444-3231
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Fax |
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Provider Business Mailing Address
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Address Line | 660 GOLDEN RIDGE RD STE 250
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City | GOLDEN
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State | CO
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Zip | 80401-9541
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Country | US
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Telephone | 303-332-1223
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1337
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1500344
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0004378
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 073544
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA02648
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License Number State | TX
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