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General NPI Number Information
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NPI Number | 1972501773
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Entity Type | Individual
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Provider Name | GREGORY M TERRY M.D.,
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 03/21/2016
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Provider Practice Location Address
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Address Line | 2610 N ALEXANDER DR SUITE 201
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City | BAYTOWN
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State | TX
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Zip | 77520-3368
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Country | US
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Telephone | 281-428-4411
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Fax | 281-428-4384
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Provider Business Mailing Address
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Address Line | 2610 N ALEXANDER DR SUITE 201
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City | BAYTOWN
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State | TX
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Zip | 77520-3368
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Country | US
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Telephone | 281-428-4411
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Fax | 281-428-4384
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0887
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License Number State | TX
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