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General NPI Number Information
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NPI Number | 1184575524
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Entity Type | Organization
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Legal Business Name | RIVERSIDE SPECIALTY CARE
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 3600 LIME ST STE 521
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City | RIVERSIDE
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State | CA
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Zip | 92501-0918
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Country | US
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Telephone | 951-299-0117
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 LIME ST STE 521
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City | RIVERSIDE
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State | CA
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Zip | 92501-0918
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Country | US
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Telephone | 951-299-0117
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Fax | 951-900-6855
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Authorized Official
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Title or Position | MANAGER
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Name | RODNEY EBRAHIMIAN
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Credential | MD
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Telephone | 951-299-0117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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