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General NPI Number Information
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NPI Number | 1306704614
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Entity Type | Organization
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Legal Business Name | BEN HUMMELL LLC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 592 W AVENIDA DE LAS FLORES
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1506
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Country | US
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Telephone | 541-201-8115
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Fax | 541-241-8447
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Provider Business Mailing Address
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Address Line | 592 W AVENIDA DE LAS FLORES
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1506
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Country | US
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Telephone | 512-785-1600
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Fax | 541-241-8447
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Authorized Official
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Title or Position | OWNER
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Name | BEN HUMMELL JR.
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Credential |
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Telephone | 512-785-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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