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1518938737

NPI Code Detail

MEDICARE: DR. ERIC EVAN MAUR M.D.

MEDICARE: DR. ERIC EVAN MAUR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	MD-12162	HI
2	207P00000X	Emergency Medicine Physician	MT188888	PA
3	207P00000X	Emergency Medicine Physician	MD435846	PA
4	207P00000X	Emergency Medicine Physician	2012-01833	NC

General Provider Information

NPI Number	:	1518938737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC EVAN MAUR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 643821
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45264-3821
Country	:	US
Telephone Number	:	800-599-0207
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 MULBERRY ST SW
Second Line	:
City	:	LENOIR
State	:	NC
Zip	:	28645-5720
Country	:	US
Telephone Number	:	828-757-5100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	07/17/2013

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Directions to “ DR. ERIC EVAN MAUR M.D.” Practice Location

Language	Start Address	Practice Location

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