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General NPI Number Information
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NPI Number | 1659410264
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Entity Type | Individual
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Provider Name | TERESA NEIRA MD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3650 MANSELL RD SUITE 310
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City | ALPHARETTA
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State | GA
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Zip | 30022-3012
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Country | US
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Telephone | 800-562-8663
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE AVENUE 82 #861, APARTMENT 303
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City | BOGOTA
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State | SOUTH AMERICA
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Zip | 00000
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Country | CO
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Telephone | 011573115067504
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 165868-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME84939
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License Number State | FL
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