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General NPI Number Information
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NPI Number | 1225010994
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Entity Type | Organization
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Legal Business Name | SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 1850 HEYWOOD ST
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City | SIMI VALLEY
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State | CA
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Zip | 93065-3430
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Country | US
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Telephone | 805-526-8190
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Fax | 805-526-4690
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Provider Business Mailing Address
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Address Line | 2975 N. SYCAMORE DRIVE
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City | SIMI VALLEY
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State | CA
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Zip | 93065
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Country | US
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Telephone | 805-955-6000
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Fax | 805-526-0837
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Authorized Official
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Title or Position | VP FINANCE/CFO
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Name | MR. JOHN A BEAMAN
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Credential |
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Telephone | 805-955-6202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 050000004
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License Number State | CA
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