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General NPI Number Information
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NPI Number | 1144101486
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Entity Type | Organization
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Legal Business Name | COUNTY OF RIVERSIDE
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4060 COUNTY CIRCLE DRIVE
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 951-358-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 4060 COUNTY CIRCLE DRIVE
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 951-358-3030
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF DEPARTMENT OF PUBLIC SO
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Name | MRS. CHARITY DOUGLAS
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Credential |
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Telephone | 951-358-6995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social 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 | 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 | 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 #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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