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General NPI Number Information
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NPI Number | 1518215383
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Entity Type | Individual
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Provider Name | TARYN LEIGH TEYKL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 2100 REGIONAL MEDICAL DR
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City | WHARTON
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State | TX
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Zip | 77488-9719
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Country | US
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Telephone | 979-532-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 16605 SOUTHWEST FREEWAY SUITE 400, MOB 3
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City | SUGAR LAND
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State | TX
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Zip | 77479
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Country | US
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Telephone | 281-276-5280
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Fax | 281-565-0300
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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 | 754048
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License Number State | TX
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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 | AP121921
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License Number State | TX
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