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General NPI Number Information
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NPI Number | 1578823647
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Entity Type | Organization
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Legal Business Name | INLAND BEHAVIORAL AND HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 07/19/2017
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Provider Practice Location Address
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Address Line | 1070 E. RAMSEY STEET
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City | BANNING
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State | CA
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Zip | 92220-0998
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Country | US
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Telephone | 951-846-2560
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Fax | 951-849-2310
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Provider Business Mailing Address
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Address Line | 1963 N E ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-3919
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Country | US
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Telephone | 909-881-6146
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Fax | 909-881-3479
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. TEMETRY A. LINDSEY
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Credential |
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Telephone | 909-708-8158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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