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General NPI Number Information
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NPI Number | 1992003206
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Entity Type | Organization
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Legal Business Name | LIBERTY HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 406 15TH ST
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City | OAKLAND
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State | CA
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Zip | 94612-2802
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Country | US
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Telephone | 510-663-6440
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Fax | 510-763-8816
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Provider Business Mailing Address
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Address Line | 406 15TH ST
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City | OAKLAND
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State | CA
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Zip | 94612-2802
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Country | US
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Telephone | 510-663-6440
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Fax | 510-763-8816
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Authorized Official
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Title or Position | LLC MEMBER
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Name | YVONNE SALESA
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Credential |
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Telephone | 510-663-6440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | CA
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