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General NPI Number Information
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NPI Number | 1235263773
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Entity Type | Individual
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Provider Name | ANNETTE TEIJEIRO M. D.
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 174 ULTRA DR
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City | HENDERSON
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State | NV
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Zip | 89074-8331
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Country | US
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Telephone | 702-837-3538
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Fax | 702-263-3338
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Provider Business Mailing Address
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Address Line | PO BOX 93953
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City | LAS VEGAS
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State | NV
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Zip | 89193-3953
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Country | US
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Telephone | 702-837-3538
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Fax | 702-263-3338
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 6699
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD00030492
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License Number State | WA
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