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NPI 1659401776

NPI 1659401776 : DANIEL JOHN TERPSTRA D.O. : BETHLEHEM, PA

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General NPI Number Information
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    NPI Number           |    1659401776
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL JOHN TERPSTRA D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/07/2007
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    Last Update Date     |    08/20/2024
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Provider Practice Location Address
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    Address Line         |    2775 SCHOENERSVILLE RD 
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    City                 |    BETHLEHEM
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    State                |    PA
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    Zip                  |    18017-7307
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    Country              |    US
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    Telephone            |    610-861-8080
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    Fax                  |    610-807-0366
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Provider Business Mailing Address
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    Address Line         |    2775 SCHOENERSVILLE RD 
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    City                 |    BETHLEHEM
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    State                |    PA
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    Zip                  |    18017-7307
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    Country              |    US
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    Telephone            |    610-861-8080
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    Fax                  |    610-807-0366
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    OS012645
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    OS012645
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    License Number State |    PA
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