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NPI 1982330221

NPI 1982330221 : AMANDA KAY ECK CNP : MIDDLEBURG HEIGHTS, OH

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General NPI Number Information
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    NPI Number           |    1982330221
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA KAY ECK CNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/28/2022
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    Last Update Date     |    07/21/2026
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Provider Practice Location Address
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    Address Line         |    18660 BAGLEY RD STE 101 
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    City                 |    MIDDLEBURG HEIGHTS
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    State                |    OH
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    Zip                  |    44130-3483
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    Country              |    US
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    Telephone            |    440-973-8400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7598 MONTGOMERY RD 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45236-4155
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    Country              |    US
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    Telephone            |    937-408-8339
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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        |    163WC0200X
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    Taxonomy Name        |    Critical Care Medicine Registered Nurse
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    License Number       |    RN.399775
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    License Number State |    OH
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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       |    APRN.CNP.0031997
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    License Number State |    OH
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Taxonomy #3
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    LE-00042648
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    License Number State |    OH
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