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General NPI Number Information
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NPI Number | 1619676467
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Entity Type | Organization
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Legal Business Name | EUREKA INVESTMENTS
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 1300 FINKS HIDEAWAY RD
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City | MONROE
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State | LA
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Zip | 71203-2804
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Country | US
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Telephone | 318-816-4919
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 FINKS HIDEAWAY RD
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City | MONROE
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State | LA
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Zip | 71203-2804
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Country | US
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Telephone | 318-816-4919
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Fax | 318-302-0689
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELIJAH W MILLER
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Credential |
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Telephone | 318-450-9281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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