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General NPI Number Information
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NPI Number | 1205155579
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Entity Type | Organization
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Legal Business Name | RICHARD W. ECKMAN, DDS
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 05/25/2010
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Provider Practice Location Address
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Address Line | 7660 GOODWOOD BLVD A101
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City | BATON ROUGE
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State | LA
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Zip | 70806-7667
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Country | US
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Telephone | 225-928-5600
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Fax | 225-928-3925
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Provider Business Mailing Address
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Address Line | 7660 GOODWOOD BLVD A101
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City | BATON ROUGE
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State | LA
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Zip | 70806-7667
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Country | US
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Telephone | 225-928-5600
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Fax | 225-928-3925
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD WAYNE ECKMAN
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Credential | D.D.S.
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Telephone | 225-928-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3138
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License Number State |
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