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General NPI Number Information
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NPI Number | 1083181374
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Entity Type | Organization
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Legal Business Name | ECKELS ORTHODONTICS PLLC
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 2010 GARFIELD AVE # 1
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City | PARKERSBURG
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State | WV
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Zip | 26101-2527
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Country | US
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Telephone | 304-422-6477
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Fax |
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Provider Business Mailing Address
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Address Line | 2010 GARFIELD AVE STE 1
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City | PARKERSBURG
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State | WV
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Zip | 26101-2529
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PC HOLDER
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Name | ALEXANDER JAMES CARDOUNEL
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Credential |
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Telephone | 954-298-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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