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General NPI Number Information
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NPI Number | 1821193954
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Entity Type | Organization
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Legal Business Name | C.H.A.R.L.E.E. FAMILY CARE, INC.
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 6711 ARLINGTON AVENUE STE ABCD
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City | RIVERSIDE
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State | CA
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Zip | 92504-1955
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Country | US
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Telephone | 951-352-4964
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Fax | 951-352-4965
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Provider Business Mailing Address
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Address Line | 136 E 6TH STREET
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City | BEAUMONT
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State | CA
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Zip | 92223-2146
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Country | US
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Telephone | 951-845-3588
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Fax | 951-845-3544
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JASON CARL JIMENEZ
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Credential |
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Telephone | 909-379-9680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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