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General NPI Number Information
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NPI Number | 1043878895
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Entity Type | Individual
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Provider Name | EILEEN HENG
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Gender | Female
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 1110 W LA PALMA AVE STE 1
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City | ANAHEIM
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State | CA
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Zip | 92801-2822
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Country | US
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Telephone | 714-991-3180
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Fax | 714-742-7729
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Provider Business Mailing Address
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Address Line | 7392 BRADLEY DR
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City | BUENA PARK
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State | CA
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Zip | 90620-1401
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Country | US
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Telephone | 562-688-2641
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 95008714
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95008714
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License Number State | CA
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