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General NPI Number Information
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NPI Number | 1922283670
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Entity Type | Organization
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Legal Business Name | TERESA SHEFFIELD APRN LLC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 805 N MAIN ST
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City | TOMPKINSVILLE
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State | KY
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Zip | 42167-1002
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Country | US
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Telephone | 270-487-0720
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Fax | 270-487-0712
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Provider Business Mailing Address
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Address Line | 805 N MAIN ST P.O BOX 728
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City | TOMPKINSVILLE
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State | KY
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Zip | 42167-1002
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Country | US
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Telephone | 270-487-0720
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Fax | 270-487-0712
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. TERESA S SHEFFIELD
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Credential | APRN
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Telephone | 270-487-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 4917P
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License Number State | KY
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