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General NPI Number Information
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NPI Number | 1851724801
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Entity Type | Individual
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Provider Name | ERIC M. TEPLICKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2602 SAINT MICHAEL DR STE 301
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City | TEXARKANA
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State | TX
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Zip | 75503-5206
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Country | US
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Telephone | 903-614-5258
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Fax | 903-614-5260
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Provider Business Mailing Address
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Address Line | PO BOX 846098
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City | DALLAS
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State | TX
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Zip | 75284-6098
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Country | US
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Telephone | 903-606-6400
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Fax | 903-606-1522
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 292708
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME130873
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | V8177
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License Number State | TX
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