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General NPI Number Information
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NPI Number | 1023942216
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Entity Type | Individual
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Provider Name | SARA BELEZZUOLI
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 911 POLLASKY AVE
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City | CLOVIS
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State | CA
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Zip | 93612-2277
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Country | US
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Telephone | 559-428-3014
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Fax |
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Provider Business Mailing Address
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Address Line | 1134 E CHAMPLAIN AVE STE 101 BOX 131
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City | FRESNO
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State | CA
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Zip | 93720
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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 |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ASW139028
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License Number State | CA
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