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General NPI Number Information
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NPI Number | 1700208816
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Entity Type | Organization
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Legal Business Name | ERIOLA TEROVA MD
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 10/22/2015
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Provider Practice Location Address
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Address Line | 45 GRACE AVE
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City | SHREWSBURY
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State | MA
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Zip | 01545-4468
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Country | US
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Telephone | 423-426-6791
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Fax | 508-836-2258
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Provider Business Mailing Address
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Address Line | 45 GRACE AVE
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City | SHREWSBURY
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State | MA
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Zip | 01545-4468
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Country | US
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Telephone | 423-426-6791
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Fax | 508-836-2258
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Authorized Official
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Title or Position | INTERNAL MEDICINE
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Name | ERIOLA TEROVA
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Credential | MD
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Telephone | 423-426-6791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 257312
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License Number State | MA
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