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General NPI Number Information
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NPI Number | 1861971590
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Entity Type | Individual
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Provider Name | STEPHANIE L TERRILL PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 428 S GILBERT RD STE 101
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City | GILBERT
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State | AZ
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Zip | 85296-2261
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Country | US
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Telephone | 480-677-8282
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Fax | 844-470-2777
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Provider Business Mailing Address
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Address Line | 2563 S VAL VISTA DR STE 101
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City | GILBERT
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State | AZ
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Zip | 85295-6231
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Country | US
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Telephone | 480-573-0130
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Fax | 480-573-0131
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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 | 7214
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 7214
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License Number State | AZ
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