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General NPI Number Information
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NPI Number | 1790672228
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Entity Type | Organization
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Legal Business Name | EMANAGED CARE
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1450 N FAIR OAKS AVE
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City | PASADENA
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State | CA
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Zip | 91103-1801
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Country | US
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Telephone | 323-818-7018
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Fax | 888-998-2068
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Provider Business Mailing Address
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Address Line | PO BOX 3582
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City | GLENDALE
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State | CA
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Zip | 91221-3582
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Country | US
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Telephone | 323-818-7018
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Fax | 888-998-2068
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Authorized Official
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Title or Position | ADMIN
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Name | KYLE AJAND
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Credential |
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Telephone | 323-818-7018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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