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General NPI Number Information
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NPI Number | 1134271802
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Entity Type | Organization
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Legal Business Name | ERIC BACHELOR, M.D., A.P.C.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 1387 SANTA RITA RD
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City | PLEASANTON
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State | CA
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Zip | 94566-5643
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Country | US
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Telephone | 925-462-3700
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Fax | 925-462-4681
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Provider Business Mailing Address
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Address Line | 1387 SANTA RITA RD
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City | PLEASANTON
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State | CA
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Zip | 94566-5643
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Country | US
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Telephone | 925-462-3700
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Fax | 925-462-4681
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERIC P. BACHELOR
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Credential | M.D.
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Telephone | 925-462-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G330120
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License Number State | CA
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