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General NPI Number Information
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NPI Number | 1174848816
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Entity Type | Individual
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Provider Name | BRIAN D EICHE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 111 E. WISCONSIN AVE. STE 2100 INFINITY HEALTHCARE
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City | MILWAUKEE
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State | WI
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Zip | 53202
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Country | US
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Telephone | 414-290-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 111 E WISCONSIN AVE STE 2100
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City | MILWAUKEE
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State | WI
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Zip | 53202-4809
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 56434-20
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License Number State | WI
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