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NPI 1942141759

NPI 1942141759 : EMO PROFESSIONAL NURSING CORPORATION : RANCHO CUCAMONGA, CA

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General NPI Number Information
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    NPI Number           |    1942141759
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMO PROFESSIONAL NURSING CORPORATION 
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Dates
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    Enumeration Date     |    04/03/2026
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    Last Update Date     |    04/03/2026
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Provider Practice Location Address
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    Address Line         |    9375 ARCHIBALD AVE STE 312 
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    City                 |    RANCHO CUCAMONGA
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    State                |    CA
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    Zip                  |    91730-5703
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    Country              |    US
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    Telephone            |    909-248-2459
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4160 TEMESCAL CANYON RD STE 401 
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    City                 |    CORONA
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    State                |    CA
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    Zip                  |    92883-4626
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    Country              |    US
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    Telephone            |    909-248-2459
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     EVA  OKATCHA 
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    Credential           |    PMHNP
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    Telephone            |    909-248-2459
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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 |    
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