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General NPI Number Information
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NPI Number | 1518902709
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Entity Type | Individual
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Provider Name | GREGORY G ECKERT MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 800 MERCY DR ALEGENT MERCY HOSPITAL
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503
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Country | US
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Telephone | 712-328-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4460
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City | OMAHA
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State | NE
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Zip | 68104
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Country | US
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Telephone | 866-491-5807
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Fax | 913-491-0411
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 21739
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License Number State | NE
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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 | 34036
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License Number State | IA
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