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General NPI Number Information
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NPI Number | 1184164873
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Entity Type | Organization
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Legal Business Name | TODOS PARA LA SALUD
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 4420 N FIRST ST #123
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City | FRESNO
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State | CA
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Zip | 93726-2328
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Country | US
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Telephone | 559-231-5366
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Fax | 559-231-5385
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Provider Business Mailing Address
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Address Line | 4420 N 1ST ST STE 123
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City | FRESNO
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State | CA
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Zip | 93726-2328
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Country | US
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Telephone | 559-231-5366
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Fax | 559-231-5385
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOHN BURNS
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Credential | M.D
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Telephone | 909-348-4046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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