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General NPI Number Information
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NPI Number | 1285622084
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Entity Type | Individual
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Provider Name | TERESA C MENART MD
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Gender | Female
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 6255 CHAMBERSBURG RD
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-3858
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Country | US
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Telephone | 937-963-9505
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Fax | 937-262-7303
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Provider Business Mailing Address
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Address Line | 6255 CHAMBERSBURG RD
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-3858
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Country | US
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Telephone | 937-963-9505
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Fax | 937-262-7303
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.072192
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License Number State | OH
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