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General NPI Number Information
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NPI Number | 1255307351
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Entity Type | Individual
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Provider Name | LAURIE DIANE ECKLES L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 55 TEMPLE RD
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City | GREENVILLE
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State | NH
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Zip | 03048-3114
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Country | US
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Telephone | 866-758-3941
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20
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City | TEMPLE
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State | NH
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Zip | 03084-0020
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Country | US
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Telephone | 866-758-3941
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Fax | 866-487-3911
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW023460
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC22791
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3168
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License Number State | NH
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