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NPI 1215281076

NPI 1215281076 : CYNTHIA JEAN ECKERT APRN, MSN, FNP-C : OOLTEWAH, TN

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General NPI Number Information
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    NPI Number           |    1215281076
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    Entity Type          |    Individual 
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    Provider Name        |    CYNTHIA JEAN ECKERT APRN, MSN, FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/01/2012
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    Last Update Date     |    05/11/2016
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Provider Practice Location Address
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    Address Line         |    9298 APISON PIKE SUITE 106
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    City                 |    OOLTEWAH
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    State                |    TN
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    Zip                  |    37363-7267
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    Country              |    US
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    Telephone            |    423-709-9238
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    Fax                  |    423-238-2271
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Provider Business Mailing Address
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    Address Line         |    205 MILLERSPRINGS CT 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37064-5434
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    RN225095
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    17065
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    License Number State |    TN
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