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General NPI Number Information
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NPI Number | 1922805530
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Entity Type | Organization
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Legal Business Name | LIBERTY COMPLETE CARE SERVICES
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Dates
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Enumeration Date | 03/01/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1915 MORRIS AVE STE 104
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City | UNION
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State | NJ
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Zip | 07083-3506
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Country | US
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Telephone | 908-858-0750
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Fax |
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Provider Business Mailing Address
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Address Line | 1915 MORRIS AVE
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City | UNION
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State | NJ
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Zip | 07083-3506
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Country | US
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Telephone | 908-858-0750
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JULIET LEBARTY
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Credential |
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Telephone | 908-858-0750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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