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General NPI Number Information
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NPI Number | 1023346178
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Entity Type | Organization
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Legal Business Name | PILI ENTERPRISES INC.
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 3356 2ND AVE SUITE H
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City | SAN DIEGO
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State | CA
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Zip | 92103-5636
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Country | US
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Telephone | 619-889-0312
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Fax |
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Provider Business Mailing Address
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Address Line | 3356 2ND AVE SUITE H
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City | SAN DIEGO
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State | CA
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Zip | 92103-5636
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Country | US
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Telephone | 619-889-0312
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. FRANK TILGHMAN WILLEY
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Credential | M.F.T.
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Telephone | 619-889-0312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 46247
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License Number State | CA
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