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General NPI Number Information
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NPI Number | 1124653837
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Entity Type | Individual
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Provider Name | CYNTHIA SUSANA TOVAR REGISTERED DIETITIAN
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Gender | Female
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 5612 N FRESNO ST STE 108
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City | FRESNO
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State | CA
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Zip | 93710-6182
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Country | US
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Telephone | 559-418-0241
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Fax | 559-550-0462
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Provider Business Mailing Address
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Address Line | 698 E SAN CARLOS AVE
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City | FRESNO
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State | CA
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Zip | 93710-7031
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Country | US
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Telephone | 559-213-6761
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86006869
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-306847
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License Number State | CA
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