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General NPI Number Information
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NPI Number | 1366888463
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Entity Type | Individual
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Provider Name | HEIDI NICOLE ECK APRN
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Gender | Female
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 7860 SW 103RD STREET RD
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City | OCALA
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State | FL
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Zip | 34476-8623
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Country | US
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Telephone | 352-873-4458
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Fax | 352-873-8116
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Provider Business Mailing Address
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Address Line | PO BOX 770719
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City | OCALA
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State | FL
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Zip | 34477-0719
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Country | US
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Telephone | 352-873-4458
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Fax | 352-873-8116
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 75866
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9358164
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License Number State | FL
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