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General NPI Number Information
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NPI Number | 1861892390
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Entity Type | Individual
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Provider Name | TERI MICHELLE MITCHELL APRN, CNM, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 8501 WADE BLVD STE 630
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 469-850-2661
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Fax | 214-292-6520
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Provider Business Mailing Address
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Address Line | 8501 WADE BLVD STE 630
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City | FRISCO
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State | TX
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Zip | 75034-6877
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Country | US
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Telephone | 469-850-2661
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Fax | 214-292-6520
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP126152
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License Number State | TX
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