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General NPI Number Information
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NPI Number | 1134183155
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Entity Type | Individual
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Provider Name | TERI CAROL RODGERS DNP, PMHNP-C, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 310 MOCKSVILLE AVE
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City | SALISBURY
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State | NC
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Zip | 28144-3328
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Country | US
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Telephone | 704-762-9630
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Fax |
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Provider Business Mailing Address
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Address Line | 2509 STEEPLECHASE RD
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City | GASTONIA
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State | NC
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Zip | 28056-0315
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Country | US
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Telephone | 47-718-4755
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201161
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201161
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License Number State | NC
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