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General NPI Number Information
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NPI Number | 1679088587
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Entity Type | Individual
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Provider Name | RISHONA TERES
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Gender | Female
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 12/14/2017
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Provider Practice Location Address
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Address Line | 1500 S ORLANDO AVE STE 200
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City | WINTER PARK
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State | FL
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Zip | 32789-5500
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Country | US
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Telephone | 407-740-0909
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Fax | 407-740-7262
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Provider Business Mailing Address
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Address Line | 1831 LAURELTON HALL LN
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City | WINTER PARK
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State | FL
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Zip | 32789-5959
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Country | US
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Telephone | 310-497-5136
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 9467238
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License Number State | FL
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