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General NPI Number Information
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NPI Number | 1851328744
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Entity Type | Organization
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Legal Business Name | JAN DAVID TEPPER, D.P.M., INC
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 984 W FOOTHILL BLVD SUITE B
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City | UPLAND
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State | CA
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Zip | 91786-3700
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Country | US
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Telephone | 909-920-0884
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Fax | 909-920-9810
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Provider Business Mailing Address
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Address Line | 984 WEST FOOTHILL BLVD. SUITE B
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City | UPLAND
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State | CA
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Zip | 91786
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Country | US
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Telephone | 909-920-0884
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Fax | 909-920-9810
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Authorized Official
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Title or Position | OWNER
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Name | DHAVEL INDUBHAI PATEL
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Credential | DPM
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Telephone | 909-920-0884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E2154
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License Number State | CA
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