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General NPI Number Information
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NPI Number | 1366444580
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Entity Type | Individual
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Provider Name | TERESA L KING NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 345 E VIRGINIA AVE
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City | PHOENIX
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State | AZ
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Zip | 85004-1202
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Country | US
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Telephone | 602-755-0800
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Fax | 602-252-6115
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Provider Business Mailing Address
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Address Line | PO BOX 24981
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City | BELFAST
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State | ME
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Zip | 04915-2000
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Country | US
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Telephone | 844-969-0686
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Fax | 773-832-7083
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN071843
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP7148
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License Number State | AZ
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