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General NPI Number Information
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NPI Number | 1235383670
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Entity Type | Organization
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Legal Business Name | BARBARA S VAN EECKHOUT,M.D.,P.C.
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 531 HARKLE RD SUITE D
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City | SANTA FE
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State | NM
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Zip | 87505-4753
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Country | US
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Telephone | 505-982-4200
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Fax | 505-982-4649
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Provider Business Mailing Address
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Address Line | 531 HARKLE RD SUITE D
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City | SANTA FE
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State | NM
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Zip | 87505-4753
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Country | US
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Telephone | 505-982-4200
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Fax | 505-982-4649
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARY ALICE VAN EECKHOUT
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Credential |
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Telephone | 505-982-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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