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General NPI Number Information
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NPI Number | 1659807600
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Entity Type | Individual
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Provider Name | JAMILA LATIFA TERKMAN DPT
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 2333 CHAPEL HILL RD
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City | COLUMBIA
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State | MO
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Zip | 65203-1568
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Country | US
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Telephone | 573-304-4514
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Fax |
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Provider Business Mailing Address
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Address Line | 4008 GRACE ELLEN DR
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City | COLUMBIA
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State | MO
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Zip | 65202-1737
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Country | US
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Telephone | 573-825-2030
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2015027148
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License Number State | MO
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