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General NPI Number Information
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NPI Number | 1699426692
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Entity Type | Organization
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Legal Business Name | EKO SURGERY CENTER, LLC
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 44651 VILLAGE CT STE 104
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City | PALM DESERT
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State | CA
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Zip | 92260-3821
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Country | US
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Telephone | 760-249-2222
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Fax | 760-237-2223
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Provider Business Mailing Address
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Address Line | PO BOX 11
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City | PALM DESERT
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State | CA
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Zip | 92261-0011
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Country | US
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Telephone | 760-205-3060
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Fax | 760-205-3822
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. FREDERICK EKO
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Credential | MD
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Telephone | 760-249-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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