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General NPI Number Information
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NPI Number | 1023327541
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Entity Type | Organization
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Legal Business Name | HEALTH VIEW
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Dates
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Enumeration Date | 10/01/2010
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Last Update Date | 10/01/2010
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Provider Practice Location Address
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Address Line | 5880 FAIR ISLE DR APT 166
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City | RIVERSIDE
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State | CA
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Zip | 92507-8458
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Country | US
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Telephone | 310-869-1252
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Fax |
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Provider Business Mailing Address
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Address Line | 921 S BEACON ST
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City | SAN PEDRO
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State | CA
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Zip | 90731-3740
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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 | DIRECTOR
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Name | MICHEAL FITZGERALD
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Credential |
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Telephone | 310-984-3055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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