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General NPI Number Information
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NPI Number | 1588459994
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Entity Type | Organization
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Legal Business Name | EMILY ACKERMAN MD INC A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 801 SENECA ST
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City | VENTURA
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State | CA
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Zip | 93001-1411
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Country | US
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Telephone | 626-977-0497
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1770
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City | LA MESA
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State | CA
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Zip | 91944-1770
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Country | US
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Telephone | 626-977-0497
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Fax | 818-279-0611
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Authorized Official
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Title or Position | MD, SOLE OWNER
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Name | DR. EMILY KATHERINE ACKERMAN
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Credential | MD
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Telephone | 626-977-0497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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