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General NPI Number Information
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NPI Number | 1285141259
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR FAMILY CENTERED SERVICES INC.
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 06/29/2018
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Provider Practice Location Address
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Address Line | 6800 INDIANA AVE STE 260
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City | RIVERSIDE
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State | CA
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Zip | 92506
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Country | US
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Telephone | 190-973-6736
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Fax |
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Provider Business Mailing Address
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Address Line | 9166 ANAHEIM PL STE 200
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8547
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Country | US
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Telephone | 909-948-7557
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. DANA S DELMAN
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Credential |
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Telephone | 909-948-7557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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