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General NPI Number Information
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NPI Number | 1881587681
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Entity Type | Organization
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Legal Business Name | PERRIS MENTAL HEALTH CLINIC
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 524 W 4TH ST STE B
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City | PERRIS
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State | CA
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Zip | 92570-2016
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Country | US
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Telephone | 951-355-0030
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Fax | 951-420-5005
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Provider Business Mailing Address
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Address Line | 524 W 4TH ST STE B
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City | PERRIS
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State | CA
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Zip | 92570-2016
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Country | US
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Telephone | 951-355-0030
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Fax | 951-420-5005
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Authorized Official
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Title or Position | OWNER
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Name | BELINDA ADDO
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Credential | NP
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Telephone | 310-902-6873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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