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General NPI Number Information
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NPI Number | 1205895950
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Entity Type | Organization
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Legal Business Name | AUDREY F. ECHT, MD, PA
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 10931 RAVEN RIDGE RD SUITE 101
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City | RALEIGH
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State | NC
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Zip | 27614-6499
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Country | US
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Telephone | 919-870-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 10931 RAVEN RIDGE RD STE 101
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City | RALEIGH
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State | NC
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Zip | 27614-6499
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Country | US
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Telephone | 919-870-6600
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Fax | 919-870-1610
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JAMIE COMBS
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Credential |
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Telephone | 919-870-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 103908
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License Number State | NC
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