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General NPI Number Information
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NPI Number | 1013287390
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Entity Type | Individual
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Provider Name | ALBERT WILLIAM EIKE RPH
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Gender | Male
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 6130 HIGHWAY 49
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City | HATTIESBURG
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State | MS
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Zip | 39401-7300
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Country | US
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Telephone | 601-545-6959
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Fax | 601-545-6964
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Provider Business Mailing Address
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Address Line | 216 WESTOVER DR APT 19H
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City | HATTIESBURG
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State | MS
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Zip | 39402-1377
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Country | US
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Telephone | 601-325-6972
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Fax |
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 05856
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License Number State | MS
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