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General NPI Number Information
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NPI Number | 1144289851
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Entity Type | Individual
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Provider Name | ERIC WALBURN METZLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 1203 HIGHWAY 60
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City | SOCORRO
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State | NM
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Zip | 87801-5816
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Country | US
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Telephone | 575-835-2724
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Fax | 575-835-4378
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Provider Business Mailing Address
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Address Line | PO BOX 1279
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City | SOCORRO
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State | NM
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Zip | 87801-1279
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Country | US
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Telephone | 505-858-1222
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Fax | 818-861-3324
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 012897
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD2010-0098
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | RS2009-0379
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | MD2010-0098
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | MD2010-0098
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License Number State | NM
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