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General NPI Number Information
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NPI Number | 1710032941
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Entity Type | Individual
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Provider Name | ROBERT K ECKERT PHD
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 19 CENTER CT
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3006
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Country | US
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Telephone | 413-351-5470
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Fax | 413-529-1849
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Provider Business Mailing Address
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Address Line | PO BOX 469
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City | EASTHAMPTON
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State | MA
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Zip | 01027-0469
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Country | US
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Telephone | 413-351-5470
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 7253
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 7253
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License Number State | MA
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