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General NPI Number Information
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NPI Number | 1679157424
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Entity Type | Organization
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Legal Business Name | LIBERTY PALLIATIVE AND HOSPICE HOME CARE SERVICES
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 05/07/2021
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Provider Practice Location Address
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Address Line | 2926 W MANCHESTER BLVD
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City | INGLEWOOD
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State | CA
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Zip | 90305-2439
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Country | US
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Telephone | 818-720-4751
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Fax | 310-412-0878
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Provider Business Mailing Address
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Address Line | 2926 W MANCHESTER BLVD
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City | INGLEWOOD
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State | CA
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Zip | 90305-2439
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Country | US
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Telephone | 818-720-4751
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Fax | 310-412-0878
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Authorized Official
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Title or Position | MEMBER
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Name | FELICIA JONES
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Credential |
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Telephone | 818-720-4751
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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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