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General NPI Number Information
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NPI Number | 1669802708
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Entity Type | Organization
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Legal Business Name | COUNTY OF SAN BERNARDINO
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 784 E HOSPITALITY LN
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City | SAN BERNARDINO
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State | CA
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Zip | 92415
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Country | US
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Telephone | 909-891-3917
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Fax | 909-891-3979
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Provider Business Mailing Address
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Address Line | 784 E HOSPITALITY LN
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City | SAN BERNARDINO
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State | CA
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Zip | 92415
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Country | US
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Telephone | 909-891-3917
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Fax | 909-891-3979
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Authorized Official
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Title or Position | DIRECTOR/PUBLIC GUARDIAN
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Name | MS. SHARON NEVINS
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Credential | LCSW, MA-PPM
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Telephone | 909-891-3917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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