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General NPI Number Information
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NPI Number | 1538396585
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Entity Type | Organization
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Legal Business Name | RIVERSIDE MEDICAL ASSOCIATES INC
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 4900 ARLINGTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92504-2780
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Country | US
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Telephone | 951-352-0330
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Fax | 951-352-0550
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Provider Business Mailing Address
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Address Line | 4900 ARLINGTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92504-2780
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Country | US
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Telephone | 951-352-0330
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Fax | 951-352-0550
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD MARC GOLDSTEIN
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Credential |
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Telephone | 951-352-0330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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