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General NPI Number Information
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NPI Number | 1023464989
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Entity Type | Individual
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Provider Name | ERIC TYLER CZER D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 300 STATE ST STE 205
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City | ERIE
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State | PA
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Zip | 16507-1429
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Country | US
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Telephone | 814-456-6022
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Fax |
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Provider Business Mailing Address
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Address Line | 300 STATE ST STE 205
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City | ERIE
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State | PA
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Zip | 16507-1429
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Country | US
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Telephone | 814-456-6022
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Fax | 814-314-1563
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | R-04-2016MNT
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DO2021-0044
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License Number State | NM
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