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General NPI Number Information
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NPI Number | 1174014476
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Entity Type | Organization
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Legal Business Name | INLAND CAREGIVER RESOURCE CENTER
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 1430 E COOLEY DR STE 240
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City | COLTON
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State | CA
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Zip | 92324-3936
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Country | US
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Telephone | 909-514-1404
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Fax | 909-514-1613
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Provider Business Mailing Address
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Address Line | 1430 E COOLEY DR STE 240
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City | COLTON
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State | CA
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Zip | 92324-3936
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Country | US
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Telephone | 909-514-1404
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Fax | 909-514-1613
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CARMEN ESTRADA
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Credential | MPA
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Telephone | 909-514-1404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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