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General NPI Number Information
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NPI Number | 1659928752
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Entity Type | Organization
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Legal Business Name | SOCIAL RESOURCES CONNECTION INC
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 5005 LA MART DR STE 100B3
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City | RIVERSIDE
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State | CA
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Zip | 92507-8902
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Country | US
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Telephone | 562-505-5945
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Fax |
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Provider Business Mailing Address
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Address Line | 11019 REICHLING LN
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City | WHITTIER
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State | CA
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Zip | 90606-1508
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Country | US
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Telephone | 562-505-5945
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. YVONNE GABRIELLA RODRIGUEZ
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Credential | LCSW
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Telephone | 562-505-5945
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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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