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General NPI Number Information
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NPI Number | 1447441811
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Entity Type | Individual
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Provider Name | TERRI R KAWAMURA FNP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 225 WILL SMITH DR
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City | HUTTO
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State | TX
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Zip | 78634-4041
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Country | US
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Telephone | 833-633-8846
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Fax |
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Provider Business Mailing Address
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Address Line | 155 VAN GORDON ST
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City | LAKEWOOD
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State | CO
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Zip | 80228-1709
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Country | US
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Telephone | 833-633-8846
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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 | 563137
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License Number State | TX
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