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General NPI Number Information
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NPI Number | 1437239746
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Entity Type | Individual
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Provider Name | JOHN FREDERICK DOEPKER JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 2701 LINCOLN AVE
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City | EVANSVILLE
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State | IN
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Zip | 47714-1627
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Country | US
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Telephone | 812-476-4400
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Fax | 812-437-7121
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Provider Business Mailing Address
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Address Line | 2701 LINCOLN AVE
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City | EVANSVILLE
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State | IN
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Zip | 47714-1627
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Country | US
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Telephone | 812-476-4400
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Fax | 812-437-7121
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 01026516A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 01026516A
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License Number State | IN
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