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General NPI Number Information
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NPI Number | 1548228331
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Entity Type | Organization
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Legal Business Name | LYNNE ECKERLE
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 1531 13TH ST., STE G-900
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City | COLUMBUS
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State | IN
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Zip | 47201-1302
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Country | US
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Telephone | 812-314-2982
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Fax | 812-373-3620
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Provider Business Mailing Address
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Address Line | 1531 13TH ST., STE G-900
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City | COLUMBUS
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State | IN
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Zip | 47201-1302
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Country | US
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Telephone | 812-314-2982
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Fax | 812-373-3620
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Authorized Official
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Title or Position | INTERIM AGENCY DIRECTOR
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Name | MRS. LYNNE ECKERLE
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Credential |
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Telephone | 812-314-2982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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