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General NPI Number Information
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NPI Number | 1881698447
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Entity Type | Organization
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Legal Business Name | LIVINGSTON MEMORIAL VISITING NURSE ASSOCIATION
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 1996 EASTMAN AVE STE 101
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City | VENTURA
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State | CA
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Zip | 93003-5768
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Country | US
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Telephone | 805-642-0239
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Fax | 805-642-7402
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Provider Business Mailing Address
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Address Line | 1996 EASTMAN AVE STE 108
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City | VENTURA
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State | CA
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Zip | 93003-5769
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Country | US
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Telephone | 805-642-0239
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Fax | 805-642-7402
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Authorized Official
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Title or Position | DIRECTOR/COO
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Name | MRS. TERESA PAVAN
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Credential |
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Telephone | 805-642-0239
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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 | 070000576
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License Number State | CA
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