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General NPI Number Information
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NPI Number | 1235447947
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Entity Type | Organization
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Legal Business Name | ECC ASSOCIATES, INC.
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 256 MAIN ST
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City | CLAYSVILLE
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State | PA
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Zip | 15323-2368
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Country | US
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Telephone | 724-663-5286
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX O
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City | CLAYSVILLE
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State | PA
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Zip | 15323-0514
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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 | PRESIDENT
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Name | NATASHA ESHBAUGH
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Credential |
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Telephone | 724-663-5286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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