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General NPI Number Information
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NPI Number | 1962570085
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Entity Type | Organization
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Legal Business Name | SUSAN H EILAND MD PC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 2700 10TH AVE S SUITE 404
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1250
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Country | US
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Telephone | 205-933-2340
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 10TH AVE S SUITE 404
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1250
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Country | US
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Telephone | 205-933-2340
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSAN HORTON EILAND
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Credential | M.D.
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Telephone | 205-933-2340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 4320
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License Number State | AL
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