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General NPI Number Information
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NPI Number | 1144395088
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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 | 11/22/2006
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 2813 S MAIN ST FL 2
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City | CORONA
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State | CA
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Zip | 92882-5942
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Country | US
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Telephone | 951-737-2962
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Fax | 951-737-2783
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Provider Business Mailing Address
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Address Line | 3525 PRESLEY AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507-4453
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Country | US
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Telephone | 951-782-2400
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Fax | 951-683-4904
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Authorized Official
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Title or Position | DIRECTOR OF BEHAVIORAL HEALTH
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Name | DR. MATTHEW CHANG
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Credential |
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Telephone | 951-358-4501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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