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General NPI Number Information
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NPI Number | 1922079128
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Entity Type | Organization
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Legal Business Name | DR. ERIC TIBLIER, P.A.
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 901 W 38TH ST SUITE 400
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City | AUSTIN
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State | TX
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Zip | 78705-1163
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Country | US
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Telephone | 512-206-2988
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Fax | 512-206-2983
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Provider Business Mailing Address
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Address Line | 901 W 38TH ST SUITE 400
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City | AUSTIN
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State | TX
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Zip | 78705-1163
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Country | US
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Telephone | 512-206-2988
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Fax | 512-206-2983
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ERIC STUART TIBLIER
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Credential | M.D.
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Telephone | 512-206-2988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | J6767
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License Number State | TX
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