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General NPI Number Information
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NPI Number | 1124932710
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Entity Type | Organization
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Legal Business Name | SANCTUARY BEHAVIORAL CENTER
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 7726 N FIRST ST SUITE 511
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City | FRESNO
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State | CA
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Zip | 93720-0989
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Country | US
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Telephone | 559-696-6968
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Fax |
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Provider Business Mailing Address
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Address Line | 455 MARKET ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2420
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Country | US
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Telephone | 559-696-6968
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMMANUEL J FANTONE
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Credential | MD
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Telephone | 559-696-6968
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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 |
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License Number State | NULL
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