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General NPI Number Information
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NPI Number | 1043198237
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Entity Type | Organization
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Legal Business Name | EAGLE EYE HEALTHCARE SOLUTIONS
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 235 REMINGTON BLVD STE G3
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City | BOLINGBROOK
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State | IL
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Zip | 60440-3686
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Country | US
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Telephone | 630-470-5221
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Fax |
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Provider Business Mailing Address
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Address Line | 1522 GLENSIDE DR
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City | BOLINGBROOK
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State | IL
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Zip | 60490-5492
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Country | US
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Telephone | 630-360-7934
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEVETTE OWUSU-ANSAH
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Credential | PHARMD
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Telephone | 630-360-7934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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