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General NPI Number Information
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NPI Number | 1396592713
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Entity Type | Individual
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Provider Name | ERNEST RODRIGUEZ BELLO RADT # R1583851024
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Gender | Male
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Dates
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Enumeration Date | 05/03/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 7344 MAGNOLIA AVE STE 110
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City | RIVERSIDE
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State | CA
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Zip | 92504-3819
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Country | US
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Telephone | 805-622-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 8008 MAGNOLIA AVE APT 3
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City | RIVERSIDE
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State | CA
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Zip | 92504-3449
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Country | US
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Telephone | 951-934-8183
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | R1583851024
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | MPSS-FXZUKN
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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