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General NPI Number Information
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NPI Number | 1225339187
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Entity Type | Individual
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Provider Name | TERRY ANN GYDE CPM,LM
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Gender | Female
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 07/28/2018
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Provider Practice Location Address
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Address Line | 612 S ROGERS ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165
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Country | US
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Telephone | 817-727-5529
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Fax | 817-887-1537
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Provider Business Mailing Address
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Address Line | 612 S ROGERS ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-4114
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Country | US
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Telephone | 817-727-5529
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Fax | 817-887-1537
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 99138
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License Number State | TX
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