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General NPI Number Information
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NPI Number | 1053405779
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Entity Type | Individual
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Provider Name | BRIAN K ESCH MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 12/18/2013
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Provider Practice Location Address
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Address Line | 218 W. WASHINGTON ST., SUITE 430
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City | SOUTH BEND
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State | IN
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Zip | 46601
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Country | US
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Telephone | 574-282-1060
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Fax | 866-354-6402
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Provider Business Mailing Address
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Address Line | 218 W. WASHINGTON ST., SUITE 430
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City | SOUTH BEND
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State | IN
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Zip | 46601
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Country | US
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Telephone | 574-282-1060
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Fax | 866-354-6402
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01056984
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License Number State | IN
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