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General NPI Number Information
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NPI Number | 1003764085
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Entity Type | Organization
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Legal Business Name | HIS DAUGHTERS HEALTH
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 4210 RIVERWALK PKWY STE 100
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City | RIVERSIDE
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State | CA
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Zip | 92505-3313
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Country | US
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Telephone | 888-413-9008
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Fax |
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Provider Business Mailing Address
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Address Line | 3870 LA SIERRA AVE STE 100
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City | RIVERSIDE
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State | CA
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Zip | 92505-3528
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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 | COO
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Name | TOLIA TERRELL-VERNON
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Credential |
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Telephone | 714-713-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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