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NPI 1851300651

NPI 1851300651 : ERIC R TEPPER DPM : SUGARLAND, TX

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General NPI Number Information
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    NPI Number           |    1851300651
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC R TEPPER DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/08/2006
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    Last Update Date     |    02/03/2020
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Provider Practice Location Address
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    Address Line         |    3143 HWY 6 SOUTH 
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    City                 |    SUGARLAND
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    State                |    TX
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    Zip                  |    77478
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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    |    
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    0776
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    License Number State |    TX
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