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General NPI Number Information
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NPI Number | 1255794046
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Entity Type | Organization
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Legal Business Name | RIVERSIDE COUNTY MENTAL HEALTH DEPARTMENT
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 1330 W RAMSEY ST
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City | BANNING
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State | CA
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Zip | 92220
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Country | US
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Telephone | 951-849-7142
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Fax | 951-849-1762
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Provider Business Mailing Address
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Address Line | 1330 W RAMSEY ST
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City | BANNING
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State | CA
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Zip | 92220
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Country | US
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Telephone | 951-849-7142
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Fax | 951-849-1762
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Authorized Official
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Title or Position | MENTAL HEALTH SERVICES SUPERVISOR
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Name | CYNTHIA ROTH-FELTER
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Credential | LCSW
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Telephone | 951-849-7142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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