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General NPI Number Information
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NPI Number | 1508298696
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Entity Type | Individual
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Provider Name | EVELYN ECKERT D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 12 TROY HILLS RD 2ND FLOOR
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City | WHIPPANY
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State | NJ
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Zip | 07981-1538
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Country | US
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Telephone | 973-952-1005
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Fax | 973-884-4002
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Provider Business Mailing Address
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Address Line | 12 TROY HILLS RD 2ND FLOOR
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City | WHIPPANY
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State | NJ
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Zip | 07981-1538
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Country | US
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Telephone | 973-952-1005
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Fax | 973-884-4002
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22DI01533100
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License Number State | NJ
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