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General NPI Number Information
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NPI Number | 1992281372
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Entity Type | Organization
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Legal Business Name | RIVERSIDE COMMUNITY HEALTH FOUNDATION
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 4275 LEMON ST
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City | RIVERSIDE
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State | CA
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Zip | 92501
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Country | US
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Telephone | 951-788-3471
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Fax | 951-465-7243
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Provider Business Mailing Address
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Address Line | 4275 LEMON ST
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City | RIVERSIDE
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State | CA
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Zip | 92501
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Country | US
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Telephone | 951-788-3471
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Fax | 951-465-7243
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Authorized Official
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Title or Position | PRESIDENT /CEO
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Name | DANIEL ANDERSON
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Credential | D MIN
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Telephone | 951-788-3471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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