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General NPI Number Information
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NPI Number | 1962760504
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Entity Type | Organization
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Legal Business Name | KATHRYN L. ECKERT, MD PC
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 75 PRINGLE WAY STE 909
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City | RENO
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State | NV
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Zip | 89502-8405
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Country | US
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Telephone | 775-333-8000
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Fax | 775-333-8015
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Provider Business Mailing Address
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Address Line | 75 PRINGLE WAY STE 909
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City | RENO
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State | NV
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Zip | 89502-8405
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Country | US
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Telephone | 775-333-8000
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SADIE KOLBET
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Credential | M.A.
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Telephone | 775-333-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 7545
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License Number State | NV
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