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General NPI Number Information
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NPI Number | 1073518304
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Entity Type | Individual
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Provider Name | TROY D ECKMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 505 E GRANT ST
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City | MACOMB
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State | IL
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Zip | 61455-3352
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Country | US
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Telephone | 309-833-5959
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Fax | 309-833-4969
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Provider Business Mailing Address
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Address Line | 809 82ND PKWY
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City | MYRTLE BEACH
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State | SC
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Zip | 29572-4607
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Country | US
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Telephone | 309-255-1392
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036102265
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 91829
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License Number State | SC
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