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General NPI Number Information
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NPI Number | 1922018498
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Entity Type | Individual
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Provider Name | DANIEL ECKERT PT
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 4130 DUTCHMANS LN STE 101
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City | LOUISVILLE
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State | KY
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Zip | 40207-4708
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Country | US
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Telephone | 502-897-1794
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Fax | 502-897-3852
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Provider Business Mailing Address
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Address Line | 4130 DUTCHMANS LN STE 300
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City | LOUISVILLE
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State | KY
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Zip | 40207-4710
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Country | US
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Telephone | 502-897-1794
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Fax | 502-897-3852
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 004224
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License Number State | KY
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