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General NPI Number Information
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NPI Number | 1841197084
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Entity Type | Organization
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Legal Business Name | RIVERSIDE MEDICAL CLINIC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/21/2026
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Last Update Date | 10/21/2026
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Provider Practice Location Address
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Address Line | 405 E RIVERSIDE DR
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City | MADERA
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State | CA
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Zip | 93638-2439
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Country | US
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Telephone | 559-355-1835
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Fax | 559-661-0744
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Provider Business Mailing Address
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Address Line | 405 E RIVERSIDE DR
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City | MADERA
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State | CA
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Zip | 93638-2439
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Country | US
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Telephone | 559-355-1835
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Fax | 559-661-0744
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Authorized Official
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Title or Position | OFFICE MANAGER559
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Name | MRS. JOSEPHINE C HERNANDEZ
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Credential |
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Telephone | 559-355-1835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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