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General NPI Number Information
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NPI Number | 1023179876
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Entity Type | Organization
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Legal Business Name | LIBERTY HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 5675 RALSTON ST SUITE 'C'
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City | VENTURA
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State | CA
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Zip | 93003-6005
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Country | US
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Telephone | 805-654-0191
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Fax | 805-654-0103
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Provider Business Mailing Address
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Address Line | 5675 RALSTON ST STE C
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City | VENTURA
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State | CA
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Zip | 93003-6236
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Country | US
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Telephone | 323-938-1155
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Fax | 323-936-7573
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | LENA BEKER
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Credential |
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Telephone | 323-938-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 550000185
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License Number State | CA
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