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General NPI Number Information
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NPI Number | 1588263289
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Entity Type | Organization
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Legal Business Name | LIBORAH HOSPICE
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 4800 STOCKDALE HWY STE 403
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2677
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Country | US
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Telephone | 559-550-3342
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Fax | 559-421-1078
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Provider Business Mailing Address
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Address Line | 4800 STOCKDALE HWY STE 403
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2677
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Country | US
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Telephone | 559-550-3342
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Fax | 559-421-1078
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Authorized Official
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Title or Position | OWNER CFO ADMINISTRATOR
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Name | KRISTINA FAJARDO
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Credential |
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Telephone | 661-374-4626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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