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General NPI Number Information
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NPI Number | 1811277270
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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 | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 1515 N SUNRISE WAY
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5398
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Country | US
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Telephone | 760-778-2259
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Fax |
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Provider Business Mailing Address
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Address Line | 2990 N BAHADA RD
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City | PALM SPRINGS
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State | CA
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Zip | 92262-2406
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Country | US
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Telephone | 760-778-2259
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Fax | 760-778-2495
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Authorized Official
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Title or Position | MEDICAL SOCIAL WORKER
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Name | ROSANNA BONASERA
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Credential | M.A.
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Telephone | 760-778-2259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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