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General NPI Number Information
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NPI Number | 1952956443
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Entity Type | Individual
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Provider Name | EMILY LOUISE EICKHOFF DDS
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Gender | Female
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 650 HUEBNER RD
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City | FORT RILEY
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State | KS
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Zip | 66442-4030
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Country | US
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Telephone | 785-239-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1631 WETZEL AVE BLDG 815
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City | FORT CARSON
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State | CO
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Zip | 80913-4095
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 11516
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 37151
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License Number State | TX
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Taxonomy #3
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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 #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 62348
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License Number State | KS
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