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General NPI Number Information
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NPI Number | 1598385965
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Entity Type | Individual
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Provider Name | SCOTT JOSEPH ESCKILSEN
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Gender | Male
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Dates
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Enumeration Date | 04/25/2020
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 171 ASHLEY AVE APT 414
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City | CHARLESTON
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State | SC
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Zip | 29425-4617
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Country | US
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Telephone | 843-876-4269
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Fax |
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Provider Business Mailing Address
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Address Line | 102 MASON FARM RD
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4617
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Country | US
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Telephone | 984-974-4426
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Fax | 919-843-9355
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 261256
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 90356
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License Number State | SC
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