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General NPI Number Information
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NPI Number | 1053511105
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Entity Type | Organization
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Legal Business Name | ERIC D TEEMAN, DPM, PA
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 19802 WELLINGTON MANOR BLVD
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City | LUTZ
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State | FL
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Zip | 33549-5012
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Country | US
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Telephone | 813-948-3991
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Fax | 813-948-0500
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Provider Business Mailing Address
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Address Line | PO BOX 341873
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City | TAMPA
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State | FL
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Zip | 33694-1873
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Country | US
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Telephone | 813-210-3338
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Fax | 813-948-0500
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ERIC D TEEMAN
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Credential | D.P.M.
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Telephone | 813-948-3991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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