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General NPI Number Information
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NPI Number | 1427069913
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Entity Type | Organization
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Legal Business Name | GLENDALE ADVENTIST MEDICAL CENTER
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 1560 E CHEVY CHASE DR STE 110
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City | GLENDALE
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State | CA
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Zip | 91206-4197
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Country | US
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Telephone | 818-240-4971
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Fax | 818-240-0536
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Provider Business Mailing Address
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Address Line | 1560 E CHEVY CHASE DR STE 110
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City | GLENDALE
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State | CA
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Zip | 91206-4197
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Country | US
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Telephone | 818-240-4971
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | ANITA CHOU
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Credential |
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Telephone | 916-406-0000
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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 |
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License Number State |
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