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General NPI Number Information
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NPI Number | 1417752932
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Entity Type | Organization
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Legal Business Name | REFRESHING MENTAL HEALTH NURSING CORPORATION
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 473 E. CARNEGIE DR. #200
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-4201
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Country | US
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Telephone | 951-836-5503
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Fax |
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Provider Business Mailing Address
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Address Line | 29991 CANYON HILLS RD # 1709-410
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City | LAKE ELSINORE
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State | CA
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Zip | 92532-2578
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Country | US
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Telephone | 951-836-5503
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RITA GOODE
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Credential | NP
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Telephone | 951-836-5503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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