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General NPI Number Information
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NPI Number | 1497061444
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Entity Type | Individual
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Provider Name | LISA MARIE ECKERT RPH
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Gender | Female
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 907 N HIGH ST
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City | MILLVILLE
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State | NJ
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Zip | 08332-3762
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Country | US
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Telephone | 856-825-7742
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Fax |
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Provider Business Mailing Address
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Address Line | 8721 HIGHLAND ST
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City | PORT NORRIS
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State | NJ
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Zip | 08349-3419
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Country | US
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Telephone | 609-319-5019
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RI02285200
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License Number State | NJ
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