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General NPI Number Information
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NPI Number | 1063441293
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Entity Type | Organization
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Legal Business Name | EMANATE HEALTH MEDICAL CENTER
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1115 S SUNSET AVE
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City | WEST COVINA
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State | CA
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Zip | 91790-3940
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Country | US
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Telephone | 626-962-4011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 840147
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City | LOS ANGELES
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State | CA
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Zip | 90084-0147
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Country | US
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Telephone | 626-732-3100
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Fax | 626-732-3195
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Authorized Official
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Title or Position | EXECUTIVE VP/CFO
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Name | ROGER SHARMA
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Credential |
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Telephone | 626-938-7595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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