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NPI 1780717496

NPI 1780717496 : ELEANOR YEE HO MPT, CLT : ANAHEIM, CA

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General NPI Number Information
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    NPI Number           |    1780717496
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    Entity Type          |    Individual 
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    Provider Name        |    ELEANOR YEE HO MPT, CLT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/13/2007
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    Last Update Date     |    06/02/2010
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Provider Practice Location Address
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    Address Line         |    311 W ORANGE AVE SUITE 202
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92804-3145
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    Country              |    US
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    Telephone            |    714-527-2289
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    Fax                  |    714-527-2014
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Provider Business Mailing Address
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    Address Line         |    200 NEWPORT CENTER DR #213
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    City                 |    NEWPORT BEACH
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    State                |    CA
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    Zip                  |    92660-7501
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    Country              |    US
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    Telephone            |    949-644-1322
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    Fax                  |    949-644-0316
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    16587
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    License Number State |    CA
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