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General NPI Number Information
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NPI Number | 1790191799
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Entity Type | Individual
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Provider Name | SALVADOR RINCON BSN,RN,CARN,PMH-BC
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Gender | Male
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 191 N SUNRISE WAY
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5201
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Country | US
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Telephone | 760-770-2286
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Fax | 760-770-2240
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Provider Business Mailing Address
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Address Line | 191 N SUNRISE WAY
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5201
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Country | US
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Telephone | 760-770-2286
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Fax | 760-770-2240
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 95223221
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95223221
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95223221
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License Number State | CA
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