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General NPI Number Information
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NPI Number | 1285944058
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Entity Type | Individual
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Provider Name | TERESA MARIE NEHLS FNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 13612 EAST PHILADELPHIA STREET
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City | WHITTIER
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State | CA
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Zip | 90608
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Country | US
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Telephone | 562-464-4548
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Fax |
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Provider Business Mailing Address
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Address Line | 281 CLAREMONT AVE
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City | LONG BEACH
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State | CA
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Zip | 90803-3557
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Country | US
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Telephone |
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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 | 20253
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License Number State | CA
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