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General NPI Number Information
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NPI Number | 1972755296
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Entity Type | Organization
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Legal Business Name | RIVERSIDE COUNTY - HEMET MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 10/17/2008
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 650 N STATE ST
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City | HEMET
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State | CA
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Zip | 92543-2960
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Country | US
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Telephone | 951-791-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 19417 ROTTERDAM
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City | RIVERSIDE
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State | CA
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Zip | 92508-6179
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH PEER SPECIALIST
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Name | MS. MARIEJOSE BALLEZA RUIZ
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Credential |
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Telephone | 619-847-7051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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