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General NPI Number Information
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NPI Number | 1487412318
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Entity Type | Organization
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Legal Business Name | IEHP HEALTH ACCESS
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Dates
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Enumeration Date | 03/06/2024
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 10801 6TH ST
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5977
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Country | US
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Telephone | 800-440-4347
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1800
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729-1800
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Country | US
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Telephone | 800-440-4347
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Fax |
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Authorized Official
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Title or Position | VP, IEHP CARE DIVISION
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Name | DARA JOY FRANCISCO
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Credential |
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Telephone | 909-367-9916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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