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General NPI Number Information
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NPI Number | 1679796395
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Entity Type | Organization
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Legal Business Name | ECG ASSOCIATES OF JACKSONVILLE P A
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 800 PRUDENTIAL DR
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8202
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Country | US
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Telephone | 904-202-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 47590
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City | JACKSONVILLE
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State | FL
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Zip | 32247-7590
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Country | US
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Telephone | 904-396-5558
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Fax | 904-396-4279
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOEL SCHRANK
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Credential |
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Telephone | 904-396-2342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number |
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License Number State |
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