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General NPI Number Information
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NPI Number | 1467943811
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Entity Type | Organization
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Legal Business Name | COUNTY OF RIVERSIDE
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 249 N SPRING ST
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City | BLYTHE
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State | CA
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Zip | 92225-1634
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Country | US
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Telephone | 951-955-1634
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Fax |
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Provider Business Mailing Address
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Address Line | 4095 COUNTY CIRCLE DR
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City | RIVERSIDE
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State | CA
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Zip | 92503-3410
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Country | US
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Telephone | 951-955-1625
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Fax |
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Authorized Official
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Title or Position | DIRECTOR RUHS - BEHAVIORAL HEALTH
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Name | DR. MATTHEW CHANG
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Credential |
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Telephone | 951-358-4501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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