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General NPI Number Information
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NPI Number | 1194817213
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Entity Type | Individual
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Provider Name | DAVID A TERSCHLUSE MD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 11373 CORTEZ BLVD STE 301
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City | BROOKSVILLE
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State | FL
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Zip | 34613-5411
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Country | US
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Telephone | 352-596-0744
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Fax | 352-596-5401
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Provider Business Mailing Address
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Address Line | 11373 CORTEZ BLVD STE 301
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City | BROOKSVILLE
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State | FL
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Zip | 34613-5411
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Country | US
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Telephone | 352-596-0744
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Fax | 352-596-5401
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD R7B83
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME 122305
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License Number State | FL
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