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General NPI Number Information
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NPI Number | 1851401426
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Entity Type | Individual
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Provider Name | TERESA BIGLER PA
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 1606 KINGS HWY
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City | SHREVEPORT
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State | LA
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Zip | 71103-4128
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Country | US
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Telephone | 318-675-5365
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 KINGS HWY SAHP PA PROGRAM
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City | SHREVEPORT
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State | LA
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Zip | 71103-4228
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Country | US
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Telephone | 318-813-2922
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA01983
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA.200297
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License Number State | LA
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