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General NPI Number Information
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NPI Number | 1427323997
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Entity Type | Individual
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Provider Name | KENDRA ECK O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/17/2012
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Last Update Date | 06/30/2017
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Provider Practice Location Address
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Address Line | 13041 N DEL WEBB BLVD
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City | SUN CITY
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State | AZ
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Zip | 85351-3034
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Country | US
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Telephone | 623-876-2314
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Fax |
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Provider Business Mailing Address
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Address Line | 9069 W THUNDERBIRD RD
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City | PEORIA
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State | AZ
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Zip | 85381-4412
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Country | US
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Telephone | 623-876-2314
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Fax | 623-876-2802
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1849
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License Number State | AZ
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