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General NPI Number Information
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NPI Number | 1740960988
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Entity Type | Individual
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Provider Name | DINA ECKLAND PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2023
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2029 CENTURY PARK EAST SUITE 400, OFFICE #422
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City | LOS ANGELES
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State | CA
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Zip | 90067
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Country | US
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Telephone | 415-671-2165
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Fax |
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Provider Business Mailing Address
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Address Line | 10792 ROCKVALE FALLS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89166-1247
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Country | US
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Telephone | 702-964-9292
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 865371
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95026986
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License Number State | CA
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