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NPI 1619906534

NPI 1619906534 : TERI A PAY N.P. : PAMPA, TX

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General NPI Number Information
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    NPI Number           |    1619906534
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    Entity Type          |    Individual 
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    Provider Name        |    TERI A PAY N.P.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2006
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    Last Update Date     |    02/15/2017
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Provider Practice Location Address
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    Address Line         |    701 N PRICE RD 
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    City                 |    PAMPA
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    State                |    TX
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    Zip                  |    79065-5126
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    Country              |    US
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    Telephone            |    806-688-2273
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    Fax                  |    806-665-0537
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Provider Business Mailing Address
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    Address Line         |    916 N CREST RD 
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    City                 |    PAMPA
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    State                |    TX
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    Zip                  |    79065-2798
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    Country              |    US
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    Telephone            |    806-662-3613
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    45736
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    739475
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    739475
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    739475
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    License Number State |    TX
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