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General NPI Number Information
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NPI Number | 1609934561
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Entity Type | Organization
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Legal Business Name | COUNTY OF RIVERSIDE
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 44199 MONROE ST
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City | INDIO
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State | CA
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Zip | 92201-3096
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Country | US
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Telephone | 951-955-8544
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Fax | 951-955-8542
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Provider Business Mailing Address
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Address Line | PO BOX 7549
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City | RIVERSIDE
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State | CA
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Zip | 92513-7549
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Country | US
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Telephone | 951-358-6900
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Fax | 951-358-6905
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Authorized Official
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Title or Position | DIRECTOR RUHS - BEHAVIORAL HEALTH
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Name | DR. MATTHEW A CHANG
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Credential |
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Telephone | 951-358-4500
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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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