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General NPI Number Information
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NPI Number | 1548422678
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Entity Type | Organization
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Legal Business Name | LIBERTY PSYCHOLOGICAL SERVICES, L.L.C.
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 32 WESTWOODS DR
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City | LIBERTY
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State | MO
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Zip | 64068-3519
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Country | US
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Telephone | 816-415-9445
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Fax | 816-415-0549
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Provider Business Mailing Address
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Address Line | 32 WESTWOODS DR
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City | LIBERTY
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State | MO
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Zip | 64068-3519
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Country | US
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Telephone | 816-415-9445
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Fax | 816-415-0549
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REBECCA L MORRIS
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Credential | PH.D.
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Telephone | 816-415-9445
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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 | 2004013371
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License Number State | MO
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