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Individual
TERESA TEMPLIN
Active
Individual
TERESA TEMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001211A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321906
ANTHEM BCBS
IN
05
—
200420710
—
IN
Enumeration date
11/09/2005
Last updated
10/19/2020
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