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General NPI Number Information
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NPI Number | 1932319928
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Entity Type | Organization
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Legal Business Name | SCOTT TERRY FEMALE HEALTH ASSOCIATES, PC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 20325 S GRACELAND LN
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City | FRANKFORT
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State | IL
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Zip | 60423-9047
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Country | US
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Telephone | 708-895-8497
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Fax |
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Provider Business Mailing Address
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Address Line | 430 E 162ND ST STE 300
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-2258
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Country | US
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Telephone | 708-895-8497
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TONI SCOTT TERRY
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Credential | M.D.
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Telephone | 708-895-8497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036102112
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License Number State | IL
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