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General NPI Number Information
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NPI Number | 1437396231
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Entity Type | Organization
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Legal Business Name | EILEE, INC.
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 01/15/2009
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Provider Practice Location Address
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Address Line | 1720 W CAMERON AVE SUITE 208
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City | WEST COVINA
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State | CA
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Zip | 91790-2721
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Country | US
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Telephone | 626-856-5700
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Fax | 626-856-0400
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Provider Business Mailing Address
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Address Line | 1720 W. CAMERON AVE. SUITE 208
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City | WEST COVINA
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State | CA
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Zip | 91790-2721
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Country | US
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Telephone | 626-856-5700
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Fax | 626-856-0400
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS EILEEN LEE
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Credential |
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Telephone | 626-856-5700
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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 |
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License Number State |
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