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General NPI Number Information
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NPI Number | 1386454098
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Entity Type | Organization
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Legal Business Name | TERI'S HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 14040 N CAVE CREEK RD STE 104
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City | PHOENIX
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State | AZ
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Zip | 85022-6117
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Country | US
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Telephone | 602-358-7073
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Fax | 602-429-8602
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Provider Business Mailing Address
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Address Line | 6635 W HAPPY VALLEY RD STE A104-621
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City | GLENDALE
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State | AZ
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Zip | 85310-2609
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Country | US
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Telephone | 602-503-0710
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Fax | 602-358-7073
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Authorized Official
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Title or Position | CREDENTIALING
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Name | PENNY SWING
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Credential |
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Telephone | 928-318-3835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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