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General NPI Number Information
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NPI Number | 1073773297
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Entity Type | Individual
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Provider Name | DEIRDRE COCKS ESCHLER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | STONY BROOK INTERNIST UFPC SMUMC, HSC LEVEL 15, RM 60
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City | STONY BROOK
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State | NY
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Zip | 11794-8154
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Country | US
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Telephone | 631-444-1665
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1559
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City | STONY BROOK
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State | NY
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Zip | 11790-0989
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Country | US
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Telephone | 631-827-8625
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 257601
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License Number State | NY
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