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General NPI Number Information
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NPI Number | 1982687257
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Entity Type | Individual
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Provider Name | JON G ECHTERLING CRNP
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Gender | Male
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 11/16/2009
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Provider Practice Location Address
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Address Line | 217 HARRISBURG AVE SUITE 200
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City | LANCASTER
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State | PA
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Zip | 17603-2964
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Country | US
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Telephone | 717-481-2798
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Fax | 717-509-3882
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Provider Business Mailing Address
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Address Line | 217 HARRISBURG AVE SUITE 200
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City | LANCASTER
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State | PA
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Zip | 17603-2964
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Country | US
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Telephone | 717-481-2798
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Fax | 717-509-3882
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TP-006374-B
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License Number State | PA
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