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General NPI Number Information
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NPI Number | 1073587929
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Entity Type | Individual
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Provider Name | ERIK JUDE BRUCE MD
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Gender | Male
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1502 BLUE RIDGE DR STE 201
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City | GEORGETOWN
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State | TX
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Zip | 78626-1002
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Country | US
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Telephone | 512-388-2663
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Fax | 737-243-8603
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Provider Business Mailing Address
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Address Line | 365 HERITAGE LOOP
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City | HUTTO
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State | TX
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Zip | 78634-3121
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Country | US
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Telephone | 512-388-2663
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | M7881
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License Number State | TX
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