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General NPI Number Information
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NPI Number | 1306930094
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Entity Type | Organization
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Legal Business Name | PACIFIC SHORES HOPSITAL
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 2130 N VENTURA ROAD
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City | OXNARD
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State | CA
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Zip | 93036
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Country | US
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Telephone | 805-604-1216
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Fax |
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Provider Business Mailing Address
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Address Line | 26560 AGOURA ROAD SUITE 108
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City | CALABASAS
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State | CA
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Zip | 91302
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Country | US
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Telephone | 818-880-3755
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Fax | 818-880-3750
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Authorized Official
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Title or Position | BUSINESS SERVICES DIRECTOR
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Name | LEAH R LUCCHESE
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Credential |
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Telephone | 818-880-3755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 050000231
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License Number State | CA
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