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General NPI Number Information
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NPI Number | 1023263704
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Entity Type | Individual
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Provider Name | DANIELLE ECKART SORTE MD
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Gender | Female
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | DEPT OF RADIOLOGY MSC 10 5530 1 UNIVERSITY OF NEW MEXICO
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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Country | US
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Telephone | 801-641-5515
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT OF RADIOLOGY MSC 10 5530 1 UNIVERSITY OF NEW MEXICO
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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Country | US
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Telephone | 801-641-5515
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | DR.0067743
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DR.0067743
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | MD2015-0767
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License Number State | NM
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