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General NPI Number Information
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NPI Number | 1275562969
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Entity Type | Organization
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Legal Business Name | INLAND BEHAVIORAL AND HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 665 N D ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92401-1109
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Country | US
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Telephone | 909-708-8158
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Fax | 909-380-7030
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Provider Business Mailing Address
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Address Line | 1963 N E ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-3919
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Country | US
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Telephone | 909-881-6146
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Fax | 909-881-3479
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. TEMETRY A LINDSEY
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Credential | PHD
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Telephone | 909-881-6146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | 240000508
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 240000508
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License Number State | CA
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