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General NPI Number Information
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NPI Number | 1659820462
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Entity Type | Individual
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Provider Name | EMILY ECCLES MA
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Gender | Female
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 1515 STATE ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2536
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Country | US
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Telephone | 805-617-3835
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 90814
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City | SANTA BARBARA
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State | CA
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Zip | 93190-0814
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Country | US
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Telephone | 805-617-3835
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 33571
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License Number State | CA
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