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General NPI Number Information
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NPI Number | 1932340957
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Entity Type | Individual
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Provider Name | TERESA NICOLE SPARKS M.D. (06/2009)
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Gender | Female
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 400 PARNASSUS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2202
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Country | US
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Telephone | 415-476-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 233 HUGO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-2603
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Country | US
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Telephone | 415-203-1820
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | A124855
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | A124855
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License Number State | CA
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