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General NPI Number Information
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NPI Number | 1063894343
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Entity Type | Individual
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Provider Name | EDDIE LEE COPELIN II M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 6700 W 9TH AVE
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City | AMARILLO
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State | TX
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Zip | 79106-1701
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Country | US
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Telephone | 806-358-0200
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Fax | 806-356-5590
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Provider Business Mailing Address
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Address Line | PO BOX 840020
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City | DALLAS
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State | TX
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Zip | 75284-0020
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Country | US
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Telephone |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | W1403
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LP03519
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0
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License Number State | NY
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