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General NPI Number Information
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NPI Number | 1225548308
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Entity Type | Individual
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Provider Name | TERESE SYBOR
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Gender | Female
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 6100 DAYLONG LN STE 105
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1631
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Country | US
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Telephone | 888-528-8321
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Fax |
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Provider Business Mailing Address
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Address Line | 3328 PARKFORD MANOR TER APT C
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City | SILVER SPRING
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State | MD
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Zip | 20904-6155
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Country | US
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Telephone | 703-967-8581
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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 | 0024175456
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License Number State | VA
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