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General NPI Number Information
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NPI Number | 1346052024
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Entity Type | Organization
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Legal Business Name | BENJAMIN E JONES COMMUNITY RESOURCE CENTER
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 794 W 40TH ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92407-3545
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Country | US
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Telephone | 909-289-1227
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1898
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City | COLTON
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State | CA
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Zip | 92324-0821
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Country | US
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Telephone | 909-289-1227
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. PAUL E JONES
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Credential |
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Telephone | 902-289-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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