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General NPI Number Information
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NPI Number | 1669386231
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Entity Type | Organization
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Legal Business Name | ACT PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 450 N BRAND BLVD STE 600
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City | GLENDALE
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State | CA
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Zip | 91203-2349
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Country | US
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Telephone | 818-476-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 450 N BRAND BLVD STE 600
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City | GLENDALE
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State | CA
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Zip | 91203-2349
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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 | PRACTICE OWNER
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Name | JAMES HILL
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Credential |
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Telephone | 818-476-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | NULL
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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 | NULL
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