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General NPI Number Information
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NPI Number | 1972619930
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Entity Type | Individual
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Provider Name | HEIDI POWERS TERRIO MD
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 9600 VETERANS DR SOUTHWEST (PART-TIME) BUILDING 6 RM 134A
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City | TACOMA
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State | WA
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Zip | 98493-0003
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Country | US
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Telephone | 253-267-1985
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Fax |
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Provider Business Mailing Address
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Address Line | 46 LESCHI DR
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City | STEILACOOM
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State | WA
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Zip | 98388-1514
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Country | US
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Telephone | 253-267-1985
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 00036737
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 43077
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR0043077
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00036737
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License Number State | WA
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