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General NPI Number Information
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NPI Number | 1518298702
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Entity Type | Organization
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Legal Business Name | COMMUNITY ACCESS NETWORK NON PROFIT CORPORATION
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Dates
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Enumeration Date | 01/27/2010
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2505 E LAKESHORE DR
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-4446
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Country | US
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Telephone | 951-471-1426
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Fax | 951-471-1453
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Provider Business Mailing Address
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Address Line | 2505 E LAKESHORE DR
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-4446
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Country | US
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Telephone | 951-471-1426
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Fax | 951-471-1453
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RAFIK PHILOBOS
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Credential |
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Telephone | 951-279-1333
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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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