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General NPI Number Information
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NPI Number | 1891781944
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Entity Type | Individual
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Provider Name | TRAVIS D TERRELL MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 2545 CAPITAL AVE SW SUITE 207
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City | BATTLE CREEK
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State | MI
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Zip | 49015
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Country | US
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Telephone | 269-552-0223
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Fax |
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Provider Business Mailing Address
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Address Line | 2545 CAPITAL AVE SW SUITE 207
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City | BATTLE CREEK
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State | MI
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Zip | 49015-7120
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Country | US
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Telephone | 269-552-0223
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | TT054634
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License Number State | MI
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