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General NPI Number Information
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NPI Number | 1629047766
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Entity Type | Individual
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Provider Name | RICHARD STUART EPTER M.D.,DABPM,FIPP
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 1321 INTERSTATE PKWY
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City | AUGUSTA
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State | GA
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Zip | 30909-5626
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Country | US
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Telephone | 706-738-7246
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Fax | 706-922-9267
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Provider Business Mailing Address
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Address Line | 1321 INTERSTATE PKWY
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City | AUGUSTA
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State | GA
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Zip | 30909-5626
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Country | US
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Telephone | 706-738-7246
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Fax | 706-922-9267
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 48228
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 48828
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 48828
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License Number State | GA
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