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General NPI Number Information
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NPI Number | 1437576386
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Entity Type | Individual
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Provider Name | JOHN JACOB EAGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 6431 FANNIN ST ROOM 6.160
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-7012
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Fax | 713-500-6999
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Provider Business Mailing Address
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Address Line | 12606 W HOUSTON CENTER BLVD STE 350
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City | HOUSTON
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State | TX
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Zip | 77082-2789
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 83328
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | T1052
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | T1052
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License Number State | TX
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