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General NPI Number Information
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NPI Number | 1417231069
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Entity Type | Individual
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Provider Name | EDNA EICHLER NP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 6801 RIVER PLACE BLVD
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City | AUSTIN
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State | TX
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Zip | 78726-4530
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Country | US
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Telephone | 512-984-7425
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Fax | 512-984-5129
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Provider Business Mailing Address
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Address Line | 2186 COUNTY ROAD 113
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City | GIDDINGS
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State | TX
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Zip | 78942-1163
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Country | US
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Telephone | 512-984-7425
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Fax | 512-984-5129
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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 | 609660
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License Number State | TX
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