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General NPI Number Information
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NPI Number | 1902007842
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Entity Type | Individual
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Provider Name | STEPHANIE YUKO TERAUCHI M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 10425 N CENTRAL EXPY
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City | DALLAS
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State | TX
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Zip | 75231-2208
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Country | US
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Telephone | 214-361-2025
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Fax | 214-361-2028
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-0813
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M9048
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | M9048
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | M9048
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License Number State | TX
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