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General NPI Number Information
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NPI Number | 1104258219
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Entity Type | Organization
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Legal Business Name | EHP ADMINISTRATORS
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 9131 OAKDALE AVE
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City | CHATSWORTH
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State | CA
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Zip | 91311-6502
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Country | US
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Telephone | 818-734-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 9131 OAKDALE AVE
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City | CHATSWORTH
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State | CA
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Zip | 91311-6502
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Country | US
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Telephone | 818-734-4780
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Fax |
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Authorized Official
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Title or Position | CIO
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Name | LAURA COPELAND
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Credential |
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Telephone | 818-734-4780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 0D08445
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License Number State | CA
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