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General NPI Number Information
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NPI Number | 1073175675
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Entity Type | Organization
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Legal Business Name | LIVINGSTON COMMUNITY HEALTH
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 600 B ST BLDG B ROOM 100
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City | LIVINGSTON
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State | CA
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Zip | 95334-9593
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Country | US
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Telephone | 209-850-3620
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Fax | 209-850-3629
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Provider Business Mailing Address
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Address Line | 600 B ST BLDG A
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City | LIVINGSTON
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State | CA
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Zip | 95334-9593
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Country | US
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Telephone | 209-850-3500
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Fax | 209-850-3498
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Authorized Official
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Title or Position | CEO
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Name | LESLIE ABASTA-CUMMINGS
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Credential |
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Telephone | 209-850-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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