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General NPI Number Information
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NPI Number | 1275730715
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Entity Type | Organization
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Legal Business Name | THE NELSON WEBLEY CORPORATION
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 5015 CANYON CREST DR STE 106
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City | RIVERSIDE
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State | CA
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Zip | 92507-6000
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Country | US
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Telephone | 951-789-2000
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Fax | 951-789-2000
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Provider Business Mailing Address
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Address Line | 7381 CORINTHIAN WAY
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City | RIVERSIDE
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State | CA
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Zip | 92506-5699
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Country | US
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Telephone | 951-789-2000
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Fax | 951-789-2000
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FESTUS O WEBLEY
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Credential | MSW, LCSW, BCD
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Telephone | 951-789-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6828
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License Number State | CA
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