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General NPI Number Information
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NPI Number | 1699769224
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Entity Type | Individual
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Provider Name | DONALD ROBERT TEATER M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 1207 EAST ST
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City | WAYNESVILLE
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State | NC
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Zip | 28786-3438
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Country | US
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Telephone | 828-631-3973
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Fax | 828-631-9280
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Provider Business Mailing Address
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Address Line | 220 5TH AVE E
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-4377
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Country | US
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Telephone | 828-692-4289
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Fax | 828-696-1794
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 30744
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 30744
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 30744
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License Number State | NC
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