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General NPI Number Information
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NPI Number | 1598939779
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Entity Type | Organization
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Legal Business Name | ANKA BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 3686 PACIFIC AVENUE
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City | RIVERSIDE
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State | CA
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Zip | 92507
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Country | US
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Telephone | 951-801-2913
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Fax | 951-684-0133
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Provider Business Mailing Address
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Address Line | 3480 BUSKIRK AVE STE 300
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4343
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Country | US
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Telephone | 925-825-4700
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Fax | 925-825-2610
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. NZINGA HARRISON
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Credential | MD
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Telephone | 925-825-4700
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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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