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General NPI Number Information
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NPI Number | 1740057603
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Entity Type | Organization
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Legal Business Name | MOLLY ECKERT APRN PLLC
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 8414 FARM RD STE 180
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City | LAS VEGAS
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State | NV
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Zip | 89131-8007
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Country | US
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Telephone | 725-567-1950
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Fax | 888-690-5051
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Provider Business Mailing Address
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Address Line | 8414 FARM RD STE 180
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City | LAS VEGAS
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State | NV
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Zip | 89131-8007
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Country | US
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Telephone | 725-567-1950
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MOLLY MARIE ECKERT
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Credential |
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Telephone | 725-567-1950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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