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General NPI Number Information
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NPI Number | 1457028904
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Entity Type | Organization
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Legal Business Name | ERIC R. TEPPER, DPM
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 3143 HIGHWAY 6
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City | SUGAR LAND
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State | TX
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Zip | 77478-4367
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Country | US
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Telephone | 281-980-3668
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Fax | 281-980-1124
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Provider Business Mailing Address
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Address Line | 3143 HIGHWAY 6
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City | SUGAR LAND
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State | TX
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Zip | 77478-4367
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Country | US
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Telephone | 281-980-3668
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Fax | 281-980-1124
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Authorized Official
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Title or Position | OWNER
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Name | ERIC R TEPPER
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Credential | DPM
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Telephone | 281-980-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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