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General NPI Number Information
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NPI Number | 1598582207
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Entity Type | Organization
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Legal Business Name | BHLEA BIOMED INC
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Dates
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Enumeration Date | 09/24/2024
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 6408 BROOKSTONE LN STE A
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2583
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Country | US
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Telephone | 714-267-2640
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Fax |
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Provider Business Mailing Address
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Address Line | 611 POPLAR ST
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City | FULLERTON
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State | CA
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Zip | 92835-4423
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ERIK WON
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Credential | DO
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Telephone | 714-267-2640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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