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General NPI Number Information
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NPI Number | 1922268168
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Entity Type | Individual
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Provider Name | TERESA L MAY DO
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Gender | Female
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 100 FODEN RD SUITE 103, WEST BUILDING
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-2327
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Country | US
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Telephone | 207-828-1122
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Fax | 208-828-0188
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Provider Business Mailing Address
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Address Line | 710 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3726
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Country | US
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Telephone | 212-305-7236
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Fax | 212-305-2792
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 274461
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | DO2185
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License Number State | ME
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