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General NPI Number Information
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NPI Number | 1407123979
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Entity Type | Organization
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Legal Business Name | EBERHARD C LOTZE, M.D.
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 9333 MEMORIAL DR APT 105
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City | HOUSTON
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State | TX
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Zip | 77024-5735
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Country | US
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Telephone | 713-860-0988
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Fax |
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Provider Business Mailing Address
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Address Line | 9333 MEMORIAL DR APT 105
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City | HOUSTON
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State | TX
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Zip | 77024-5735
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Country | US
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Telephone | 713-860-0988
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EBERHARDT C LOTZE
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Credential | M.D.
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Telephone | 713-860-0988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | D2510
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License Number State | TX
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