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General NPI Number Information
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NPI Number | 1902837958
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Entity Type | Individual
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Provider Name | ERIC BOYD TEACHOUT D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 16521 SAN CARLOS BLVD STE 220
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City | FORT MYERS
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State | FL
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Zip | 33908-5245
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Country | US
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Telephone | 239-466-5656
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Fax | 239-466-1102
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Provider Business Mailing Address
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Address Line | 16521 SAN CARLOS BLVD STE 220
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City | FORT MYERS
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State | FL
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Zip | 33908-5245
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Country | US
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Telephone | 239-466-5656
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Fax | 239-466-1102
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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 | 2301007757
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 12025
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License Number State | FL
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