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General NPI Number Information
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NPI Number | 1619099835
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Entity Type | Individual
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Provider Name | CYNTHIA ECKMAN LMP, CR,
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5405 NE 49TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98661-7802
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Country | US
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Telephone | 360-903-8244
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Fax | 360-828-8730
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Provider Business Mailing Address
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Address Line | 5405 NE 49TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98661-7802
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Country | US
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Telephone | 360-903-8244
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Fax | 360-828-8730
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA00023859
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License Number State | WA
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