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General NPI Number Information
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NPI Number | 1982809240
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Entity Type | Individual
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Provider Name | JASON C ECK D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 4140 FERNCREEK DR STE 801
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2572
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Country | US
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Telephone | 910-484-2171
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Fax | 910-484-4568
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Provider Business Mailing Address
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Address Line | 4140 FERNCREEK DR STE 801
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2572
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Country | US
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Telephone | 910-484-2171
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Fax | 910-484-4568
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 236738
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2019-02773
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 2433
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 2019-02773
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License Number State | NC
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