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General NPI Number Information
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NPI Number | 1215167333
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Entity Type | Individual
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Provider Name | TERESA DAVIS PARHAM FNP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 420 DURANT ST
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City | SOUTH HILL
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State | VA
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Zip | 23970-1614
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Country | US
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Telephone | 434-584-0046
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Fax | 434-584-0083
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Provider Business Mailing Address
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Address Line | 420 DURANT ST
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City | SOUTH HILL
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State | VA
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Zip | 23970-1614
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Country | US
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Telephone | 434-584-0046
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Fax | 434-333-7035
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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 | 5001114
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0050-01114
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024172253
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License Number State | VA
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