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General NPI Number Information
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NPI Number | 1265365969
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Entity Type | Organization
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Legal Business Name | FIATM INDUSTRIES LLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 2192 GALLERIA AT TYLER
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City | RIVERSIDE
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State | CA
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Zip | 92503-4146
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Country | US
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Telephone | 951-988-3389
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Fax |
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Provider Business Mailing Address
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Address Line | 25920 IRIS AVE STE 13A
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City | MORENO VALLEY
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State | CA
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Zip | 92551-1658
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Country | US
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Telephone | 951-988-3389
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Fax |
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Authorized Official
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Title or Position | OWNER / CEO
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Name | YAKUBA BROWN
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Credential |
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Telephone | 951-478-7178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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