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General NPI Number Information
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NPI Number | 1134345952
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Entity Type | Organization
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Legal Business Name | RIVERSIDE UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 5700 ARLINGTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92504-2035
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Country | US
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Telephone | 951-274-4213
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Fax | 951-274-4203
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Provider Business Mailing Address
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Address Line | 5700 ARLINGTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92504-2035
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Country | US
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Telephone | 951-274-4213
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Fax | 951-274-4203
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GERALD L SAKS
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Credential | M.D.
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Telephone | 951-274-4213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number | 33-67215
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License Number State | CA
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