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General NPI Number Information
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NPI Number | 1366401176
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Entity Type | Individual
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Provider Name | MARY TROY FERGUSON MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 1155 MILL ST
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City | RENO
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State | NV
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Zip | 89502-1576
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Country | US
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Telephone | 775-982-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 748 S MEADOWS PKWY A9-336
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City | RENO
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State | NV
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Zip | 89521-3861
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Country | US
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Telephone | 775-324-4040
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 9940
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 65017-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 9940
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD2015-0932
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 04-38648
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License Number State | KS
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 51546
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 60048
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License Number State | MN
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