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General NPI Number Information
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NPI Number | 1609989292
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Entity Type | Individual
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Provider Name | TERRESA A FERRUCCIO DOCTORATE OF PT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2856 SEWELL MILL RD
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City | MARIETTA
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State | GA
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Zip | 30062-4720
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Country | US
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Telephone | 909-496-9352
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Fax | 770-726-7546
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Provider Business Mailing Address
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Address Line | 2856 SEWELL MILL RD
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City | MARIETTA
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State | GA
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Zip | 30062-4720
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Country | US
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Telephone | 909-496-9352
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Fax | 770-726-7546
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | PT008742
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License Number State | GA
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