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General NPI Number Information
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NPI Number | 1174499909
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Entity Type | Individual
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Provider Name | DEONA JENE EICKHOFF RN
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Gender | Female
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 3920 N UNION BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4900
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Country | US
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Telephone | 719-327-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 1419 MASTERS DR
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City | WOODLAND PARK
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State | CO
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Zip | 80863-7422
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Country | US
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Telephone |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN.0193021
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License Number State | CO
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