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General NPI Number Information
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NPI Number | 1568900280
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Entity Type | Individual
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Provider Name | MS. TERRI DAWN WARD
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Gender | Female
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 20541 SW 103RD AVE
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City | TUALATIN
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State | OR
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Zip | 97062-9513
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Country | US
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Telephone | 503-332-2669
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Fax | 503-218-8989
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Provider Business Mailing Address
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Address Line | 20541 SW 103RD AVE
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City | TUALATIN
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State | OR
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Zip | 97062-9513
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Country | US
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Telephone | 503-332-2669
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Fax | 503-218-8989
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State | OR
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