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General NPI Number Information
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NPI Number | 1881265098
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Entity Type | Individual
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Provider Name | ALEXANDRA ECK PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 1200 US HIGHWAY 22 STE 14
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2943
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Country | US
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Telephone | 732-652-9736
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Fax |
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Provider Business Mailing Address
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Address Line | 681 STATE ROUTE 12
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City | FLEMINGTON
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State | NJ
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Zip | 08822-2717
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Country | US
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Telephone | 908-914-7108
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00628200
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License Number State | NJ
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