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General NPI Number Information
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NPI Number | 1528743846
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Entity Type | Organization
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Legal Business Name | MCKINLEY CHILDREN'S CENTER, INC.
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 4590 ALLSTATE DR
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City | RIVERSIDE
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State | CA
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Zip | 92501-1702
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Country | US
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Telephone | 909-599-1227
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Fax |
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Provider Business Mailing Address
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Address Line | 180 VIA VERDE STE 200
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City | SAN DIMAS
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State | CA
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Zip | 91773-3993
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Country | US
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Telephone | 909-599-1227
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Fax |
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Authorized Official
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Title or Position | AVP OF CONTRACT COMPLIANCE
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Name | GABRIELA RHODES
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Credential | MPA
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Telephone | 909-599-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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