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General NPI Number Information
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NPI Number | 1114853223
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Entity Type | Organization
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Legal Business Name | EMERITUS PROFESSIONAL MEDICAL CORPORATION, LLC
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 181 TECHNOLOGY DR STE 100A
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City | IRVINE
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State | CA
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Zip | 92618-2484
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Country | US
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Telephone | 949-418-7225
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Fax | 949-418-7287
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Provider Business Mailing Address
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Address Line | 181 TECHNOLOGY DR STE 100A
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City | IRVINE
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State | CA
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Zip | 92618-2484
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Country | US
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Telephone | 949-418-7225
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Fax | 949-418-7287
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON ALLCHIN
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Credential |
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Telephone | 949-338-2594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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