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General NPI Number Information
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NPI Number | 1245478452
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Entity Type | Individual
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Provider Name | TERI SPEED CUMPTON MD
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Gender | Female
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 2101 SW 87TH PL
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City | OCALA
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State | FL
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Zip | 34476-6716
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Country | US
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Telephone | 352-266-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 SW 87TH PL
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City | OCALA
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State | FL
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Zip | 34476-6716
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Country | US
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Telephone | 352-266-5000
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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 | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 66357
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | MD.09203R
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 66357
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 66357
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 66357
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License Number State | FL
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