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General NPI Number Information
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NPI Number | 1841335486
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Entity Type | Individual
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Provider Name | JOYCE ANN ECKARD MSPT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 11/21/2012
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Provider Practice Location Address
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Address Line | 621 TUCKERS RD
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-6320
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Country | US
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Telephone | 843-237-1975
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Fax | 843-237-1975
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Provider Business Mailing Address
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Address Line | 621 TUCKERS RD
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-5211
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Country | US
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Telephone | 843-237-1975
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Fax | 843-237-1975
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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 | 5057
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License Number State | SC
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