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General NPI Number Information
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NPI Number | 1396095477
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Entity Type | Organization
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Legal Business Name | COUNTY OF VENTURA
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 800 MORADO PLACE
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City | OXNARD
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State | CA
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Zip | 93030
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Country | US
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Telephone | 805-437-1437
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Fax | 805-437-1487
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Provider Business Mailing Address
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Address Line | 2240 E GONZALES RD SUITE 260
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City | OXNARD
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State | CA
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Zip | 93036-8210
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Country | US
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Telephone | 805-981-5281
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Fax | 805-658-4580
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Authorized Official
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Title or Position | FAMILY HEALTH DIVISION MANAGER
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Name | MS. PATRICIA CHAN
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Credential | OTR/L
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Telephone | 805-981-5222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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