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General NPI Number Information
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NPI Number | 1609169267
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Entity Type | Individual
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Provider Name | DAVID THOMAS TERRANO MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 9060 E VIA LINDA SUITE 150
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5422
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Country | US
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Telephone | 480-275-2494
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Fax | 480-772-4296
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Provider Business Mailing Address
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Address Line | 11025 RCA CENTER DR STE 300
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4269
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Country | US
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Telephone | 561-383-3820
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 54161
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 54161
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License Number State | AZ
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