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NPI 1053904730

NPI 1053904730 : UNITED STATES VETERANS INITIATIVE - INLAND EMPIRE : MARCH AIR RESERVE BASE, CA

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General NPI Number Information
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    NPI Number           |    1053904730
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNITED STATES VETERANS INITIATIVE - INLAND EMPIRE 
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Dates
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    Enumeration Date     |    02/14/2021
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    Last Update Date     |    07/07/2025
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Provider Practice Location Address
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    Address Line         |    15305 6TH STREET 
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    City                 |    MARCH AIR RESERVE BASE
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    State                |    CA
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    Zip                  |    92518
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    Country              |    US
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    Telephone            |    951-656-6893
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    800 W 6TH ST STE 1505 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90017-2742
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    Country              |    US
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    Telephone            |    310-760-4630
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ASSOCIATE CLINICAL DIRECTOR
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    Name                 |    DR. STEPHEN CARL WINSTON 
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    Credential           |    PH.D.
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    Telephone            |    310-382-7556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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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        |    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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Taxonomy #3
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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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Taxonomy #4
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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