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General NPI Number Information
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NPI Number | 1700816683
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Entity Type | Organization
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Legal Business Name | ECHO COMMUNITY HEALTH CARE, INC.
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 501 JOHN STREET SUITE 12
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City | EVANSVILLE
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State | IN
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Zip | 47713-2705
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Country | US
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Telephone | 812-436-0224
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Fax | 812-436-0230
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Provider Business Mailing Address
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Address Line | 315 MULBERRY ST
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City | EVANSVILLE
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State | IN
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Zip | 47713-1252
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Country | US
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Telephone | 812-421-7489
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Fax | 812-421-7497
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | SANDEE E STRADER-MCMILLEN
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Credential |
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Telephone | 812-421-7489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 261QF0400X
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License Number State | IN
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