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General NPI Number Information
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NPI Number | 1346021193
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Entity Type | Organization
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Legal Business Name | RESILIENCE CENTER FOR MENTAL WELLNESS INC
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 422 N SAN JACINTO ST
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City | HEMET
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State | CA
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Zip | 92543-3124
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Country | US
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Telephone | 833-420-4501
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Fax |
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Provider Business Mailing Address
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Address Line | 25888 CLEARVIEW DR
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City | HEMET
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State | CA
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Zip | 92544-4913
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | NICHOLAS REED
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Credential |
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Telephone | 951-660-4442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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