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General NPI Number Information
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NPI Number | 1023314523
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Entity Type | Individual
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Provider Name | ARLENE PUTNAM
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Gender | Female
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 4411 E KINGS CANYON RD
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City | FRESNO
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State | CA
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Zip | 93702-3604
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Country | US
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Telephone | 559-453-1008
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Fax | 559-453-2805
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Provider Business Mailing Address
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Address Line | 1745 N JENNIE LAKE TRL
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City | HANFORD
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State | CA
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Zip | 93230-8890
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Country | US
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Telephone | 559-701-3474
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Fax |
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95183647
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95030619
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License Number State | CA
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