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General NPI Number Information
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NPI Number | 1629796446
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Entity Type | Organization
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Legal Business Name | AMAE HEALTH MEDICAL ASSOCIATES, PC
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 11620 WILSHIRE BLVD STE 520
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City | LOS ANGELES
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State | CA
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Zip | 90025-1778
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Country | US
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Telephone | 424-293-0031
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Fax |
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Provider Business Mailing Address
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Address Line | 3033 DIVISADERO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-3228
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CHIEF MEDICAL OFFICER
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Name | SCOTT FEARS
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Credential | MD
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Telephone | 213-399-4163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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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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