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General NPI Number Information
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NPI Number | 1083621858
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Entity Type | Individual
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Provider Name | LYNN M ECKERT M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 29000 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-5293
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Country | US
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Telephone | 440-835-6066
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Fax |
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Provider Business Mailing Address
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Address Line | 21556 LAKE RD
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City | ROCKY RIVER
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State | OH
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Zip | 44116-1154
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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 |
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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 | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 34006624
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License Number State | OH
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