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General NPI Number Information
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NPI Number | 1982838991
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Entity Type | Organization
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Legal Business Name | RIVER CITIES HEALTH SERVICES INC.
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 1050 E BROADWAY ST
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City | NEEDLES
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State | CA
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Zip | 92363-3815
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Country | US
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Telephone | 760-326-4414
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Fax | 760-326-4419
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Provider Business Mailing Address
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Address Line | 1050 E BROADWAY ST
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City | NEEDLES
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State | CA
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Zip | 92363-3815
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Country | US
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Telephone | 760-326-4414
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Fax | 760-326-4419
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | WILLIAM ROBERT LANSFORD
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Credential | D.C.
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Telephone | 760-326-4417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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