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General NPI Number Information
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NPI Number | 1841338944
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Entity Type | Organization
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Legal Business Name | BELTONE OF RIVERSIDE
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 5908 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-1884
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Country | US
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Telephone | 951-779-1237
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Fax | 951-779-1238
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Provider Business Mailing Address
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Address Line | 5908 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-1884
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Country | US
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Telephone | 951-779-1237
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Fax | 951-779-1238
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KENNETH MICHAEL BECERRIL
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Credential | ACA
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Telephone | 951-779-1237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA3537
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License Number State | CA
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