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General NPI Number Information
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NPI Number | 1770690166
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Entity Type | Individual
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Provider Name | ERIC S KUCERA DC
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 1131 A MAIN
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City | EAST BERNARD
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State | TX
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Zip | 77435-9227
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Country | US
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Telephone | 979-335-4500
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Fax | 979-335-4545
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Provider Business Mailing Address
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Address Line | 107 LIVE OAK DR
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City | VAN VLECK
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State | TX
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Zip | 77482-9764
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Country | US
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Telephone | 979-335-4500
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Fax | 979-335-4545
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC7950
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License Number State | TX
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