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General NPI Number Information
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NPI Number | 1437949013
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Entity Type | Organization
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Legal Business Name | RISE MSO GROUP
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 18510 MOCKINGBIRD CANYON RD
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City | RIVERSIDE
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State | CA
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Zip | 92504-9691
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Country | US
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Telephone | 562-308-8269
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Fax |
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Provider Business Mailing Address
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Address Line | 5170 VIA PRIMARIA
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City | YORBA LINDA
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State | CA
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Zip | 92886-4586
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Country | US
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Telephone | 562-308-8269
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KADEN YOUNG
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Credential |
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Telephone | 562-308-8269
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare 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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 174200000X
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Taxonomy Name | Meals Provider
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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 | 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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