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General NPI Number Information
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NPI Number | 1962277087
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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 | 11/20/2023
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 8505 ORION AVE
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City | NORTH HILLS
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State | CA
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Zip | 91343-5812
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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 | 818-731-2988
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | KYLE VAHAGN
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Credential |
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Telephone | 818-731-2988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 364SL0600X
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Taxonomy Name | Long-Term Care Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #6
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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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