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General NPI Number Information
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NPI Number | 1598848574
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Entity Type | Organization
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Legal Business Name | E.M. THERAPEUTICS, INC.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 16311 VENTURA BLVD 1280
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City | ENCINO
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State | CA
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Zip | 91436-2124
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Country | US
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Telephone | 818-986-1886
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Fax | 818-995-7117
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Provider Business Mailing Address
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Address Line | 16311 VENTURA BLVD 1280
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City | ENCINO
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State | CA
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Zip | 91436-2124
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Country | US
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Telephone | 818-986-1886
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Fax | 818-995-7117
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Authorized Official
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Title or Position | OWNER
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Name | ELI E MARMUR
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Credential | P.T.
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Telephone | 818-986-1886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT5793
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License Number State | CA
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