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General NPI Number Information
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NPI Number | 1114337326
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Entity Type | Organization
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Legal Business Name | LEO EICKHOFF MD INC
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 2147 COURT ST
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City | REDDING
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State | CA
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Zip | 96001-2531
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Country | US
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Telephone | 530-243-8667
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Fax | 530-243-8742
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Provider Business Mailing Address
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Address Line | 2147 COURT ST
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City | REDDING
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State | CA
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Zip | 96001-2531
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Country | US
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Telephone | 530-243-8667
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Fax | 530-243-8742
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Authorized Official
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Title or Position | OWNER
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Name | LEO EDWARD EICKHOFF III
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Credential | MD
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Telephone | 530-243-8667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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