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General NPI Number Information
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NPI Number | 1700843216
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Entity Type | Organization
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Legal Business Name | AURORA LAS ENCINAS, LLC
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 2900 E DEL MAR BLVD
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City | PASADENA
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State | CA
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Zip | 91107-4375
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Country | US
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Telephone | 626-795-9901
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Fax | 626-356-2503
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Provider Business Mailing Address
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Address Line | 2900 E DEL MAR BLVD
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City | PASADENA
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State | CA
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Zip | 91107-4375
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Country | US
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Telephone | 626-795-9901
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Fax | 626-356-2503
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | HELEN EASLEY
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Credential |
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Telephone | 626-795-9901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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