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General NPI Number Information
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NPI Number | 1639320765
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Entity Type | Individual
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Provider Name | JOHN DAVID TEEPE D.D.S
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Gender | Male
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | PSC 41 BOX 1575
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City | APO
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State | AE
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Zip | 09464-0016
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Country | US
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Telephone | 402-630-2170
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Fax |
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Provider Business Mailing Address
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Address Line | 48TH MDG/RAF LAKENHEATH
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City | APO
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State | AE
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Zip | 09461
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Country | US
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Telephone | 402-630-2170
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 24229
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License Number State | TX
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