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General NPI Number Information
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NPI Number | 1386636603
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Entity Type | Individual
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Provider Name | TERESA NEPRUD NP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 175 W BROADWAY
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City | LINCOLN
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State | ME
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Zip | 04457-4000
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Country | US
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Telephone | 207-794-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 411 WALNUT ST # 13588
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City | GREEN COVE SPRINGS
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State | FL
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Zip | 32043-3443
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Country | US
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Telephone | 410-353-7961
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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 | AP60856983
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201909625NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R200127
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP231210
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License Number State | ME
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