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General NPI Number Information
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NPI Number | 1023107513
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Entity Type | Individual
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Provider Name | HERBERT ANGEL CRUZ MD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 2772 S. MARTIN LUTHER KING BLVD.
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City | FRESNO
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State | CA
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Zip | 93706
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Country | US
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Telephone | 559-251-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 N GATEWAY BLVD STE 100
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City | FRESNO
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State | CA
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Zip | 93727-1622
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Country | US
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Telephone | 559-696-7242
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Fax | 559-256-1081
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G57966
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License Number State | CA
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