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General NPI Number Information
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NPI Number | 1629937701
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Entity Type | Organization
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Legal Business Name | TDM MEDICAL CONSULTING, LLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 7002 S CENTRAL AVE
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City | PHOENIX
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State | AZ
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Zip | 85042-5423
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Country | US
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Telephone | 602-499-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 7002 S CENTRAL AVE
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City | PHOENIX
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State | AZ
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Zip | 85042-5423
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | DR. TERESA DEAN MALCOLM
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Credential | MD, FACOG, MBA, PCC
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Telephone | 480-209-4899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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