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General NPI Number Information
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NPI Number | 1831722610
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Entity Type | Organization
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Legal Business Name | HELPING HEARTS HULEN, LLC
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 2801 HULEN PL
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City | RIVERSIDE
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State | CA
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Zip | 92507-2606
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Country | US
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Telephone | 602-622-1290
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Fax |
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Provider Business Mailing Address
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Address Line | 1845 BUSINESS CENTER DR STE 130
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3447
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Country | US
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Telephone | 602-622-1290
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Fax | 602-926-8036
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Authorized Official
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Title or Position | ADMINISTRATOR, CEO
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Name | MS. YNEZ CHRISTINE CROSS
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Credential | MBA
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Telephone | 602-622-1290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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