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General NPI Number Information
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NPI Number | 1275351926
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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 | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 2499 E LAKESHORE DR STE B
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-4411
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Country | US
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Telephone | 951-471-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 2499 E LAKESHORE DR STE B
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-4411
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Country | US
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Telephone | 951-471-4200
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Fax |
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Authorized Official
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Title or Position | PUBLIC HEALTH OFFICER
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Name | GEOFFREY WON-CHEN LEUNG
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Credential |
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Telephone | 951-358-5121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare 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 | 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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