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General NPI Number Information
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NPI Number | 1952663676
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Entity Type | Organization
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Legal Business Name | EIKERBEE, INC
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 4264 GREEN RIVER RD SUITE 101
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City | CORONA
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State | CA
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Zip | 92880-1632
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Country | US
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Telephone | 888-817-2744
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Fax | 714-464-2324
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Provider Business Mailing Address
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Address Line | 4264 GREEN RIVER RD SUITE 101
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City | CORONA
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State | CA
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Zip | 92880-1632
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Country | US
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Telephone | 888-817-2744
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Fax | 714-464-2324
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MATTHEW DONALD SOSBEE
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Credential |
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Telephone | 714-478-3229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 50851
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 50851
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License Number State | CA
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