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General NPI Number Information
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NPI Number | 1548584410
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Entity Type | Individual
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Provider Name | TERAN MILLS DAVIS D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 12222 N CENTRAL EXPY SUITE 400
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City | DALLAS
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State | TX
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Zip | 75243-3720
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Country | US
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Telephone | 214-219-3747
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Fax |
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Provider Business Mailing Address
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Address Line | 4406 MYERWOOD LN
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City | DALLAS
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State | TX
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Zip | 75244-7513
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Country | US
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Telephone | 918-549-8284
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | P0192
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4512
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0102208964
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License Number State | VA
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