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General NPI Number Information
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NPI Number | 1871479311
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Entity Type | Individual
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Provider Name | MIKAYLA ECKSTEIN
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 1167 WILSON DR
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City | GREENWOOD
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State | IN
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Zip | 46143-8221
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Country | US
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Telephone | 317-851-3101
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Fax | 317-851-3101
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Provider Business Mailing Address
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Address Line | 13150 N COUNTY ROAD 50 W
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City | BATESVILLE
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State | IN
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Zip | 47006-8000
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Country | US
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Telephone | 812-212-5544
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Fax | 812-212-5544
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71016887A
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License Number State | IN
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