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General NPI Number Information
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NPI Number | 1467685651
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Entity Type | Individual
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Provider Name | TERRI ANN SHURTLEFF CRT RCP
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Gender | Female
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 212 S 1ST ST
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City | BROWNFIELD
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State | TX
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Zip | 79316-4410
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Country | US
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Telephone | 806-637-3663
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Fax | 806-792-8786
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Provider Business Mailing Address
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Address Line | 8212 ITHACA AVE STE EG
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City | LUBBOCK
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State | TX
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Zip | 79423-2671
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Country | US
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Telephone | 806-792-8727
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Fax | 806-792-8786
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1000085
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License Number State | TX
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