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General NPI Number Information
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NPI Number | 1285263483
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Entity Type | Individual
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Provider Name | STEPHANIE TARAN ECKLER LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 7401 WILES RD STE 237
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2038
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Country | US
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Telephone | 954-314-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 10734 NW 80TH CIR
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City | PARKLAND
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State | FL
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Zip | 33076-4751
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Country | US
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Telephone | 802-345-2751
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH16510
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License Number State | FL
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