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General NPI Number Information
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NPI Number | 1306798954
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Entity Type | Organization
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Legal Business Name | VINEYARD SECOND CHANCE
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 41787 VAN LINDEN CT
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City | HEMET
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State | CA
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Zip | 92544-6430
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Country | US
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Telephone | 562-400-5952
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Fax |
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Provider Business Mailing Address
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Address Line | 40477 MURRIETA HOT SPRINGS RD
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City | MURRIETA
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State | CA
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Zip | 92563-6426
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Country | US
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Telephone | 562-400-5952
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CONSTANCE G HARDEN
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Credential |
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Telephone | 562-400-5952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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