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General NPI Number Information
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NPI Number | 1689272320
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Entity Type | Organization
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Legal Business Name | TELLO & ASSOCIATES PLLC
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 03/26/2022
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Provider Practice Location Address
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Address Line | 4401 6TH ST STE A
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City | LUBBOCK
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State | TX
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Zip | 79416-4700
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Country | US
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Telephone | 806-620-1767
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Fax | 888-762-6622
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Provider Business Mailing Address
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Address Line | 4401 6TH ST STE A
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City | LUBBOCK
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State | TX
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Zip | 79416-4700
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Country | US
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Telephone | 806-928-1144
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Fax | 888-762-6622
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | SARA TELLO
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Credential |
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Telephone | 806-928-1144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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