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General NPI Number Information
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NPI Number | 1619804697
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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 | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 300 HILLMONT AVE BLDG 340 STE 502
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City | VENTURA
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State | CA
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Zip | 93003
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Country | US
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Telephone | 805-652-6222
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Fax | 805-652-6221
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Provider Business Mailing Address
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Address Line | 800 S VICTORIA AVE # L4640
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City | VENTURA
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State | CA
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Zip | 93009-0002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HCA DIRECTOR
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Name | JOHN FANKHAUSER
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Credential | MD
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Telephone | 805-652-6058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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