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General NPI Number Information
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NPI Number | 1366931073
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Entity Type | Individual
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Provider Name | RYAN PATRICK ECKLEY DDS
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Gender | Male
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 5341 LIMESTONE RD STE 101
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City | WILMINGTON
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State | DE
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Zip | 19808-1222
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Country | US
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Telephone | 302-265-3653
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Fax | 302-265-3693
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Provider Business Mailing Address
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Address Line | 1234 MADISON LN
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City | HOCKESSIN
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State | DE
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Zip | 19707-9417
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Country | US
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Telephone | 717-580-4920
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | G1-0011542
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License Number State | DE
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