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General NPI Number Information
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NPI Number | 1255881017
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Entity Type | Individual
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Provider Name | TERRANCE MENARD FNP
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Gender | Male
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 12131 HIGHWAY 6 STE 108
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City | FRESNO
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State | TX
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Zip | 77545-1633
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Country | US
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Telephone | 346-816-7652
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Fax | 832-234-9416
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Provider Business Mailing Address
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Address Line | 12131 HIGHWAY 6 STE 108
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City | FRESNO
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State | TX
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Zip | 77545-1633
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Country | US
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Telephone | 337-781-6313
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Fax | 832-234-9416
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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 | AP131468
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP131468
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License Number State | TX
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