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General NPI Number Information
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NPI Number | 1194720730
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Entity Type | Organization
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Legal Business Name | UROLOGY ASSOCIATES OF CENTRAL CALIFORNIA, INC
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 7014 N. WHITNEY
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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 | 559-321-2898
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Fax | 559-321-2026
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Provider Business Mailing Address
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Address Line | 7014 N WHITNEY AVE
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City | FRESNO
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State | CA
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Zip | 93720-0155
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Country | US
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Telephone | 559-321-2898
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Fax | 559-321-2026
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Authorized Official
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Title or Position | MANAGER
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Name | JAMES VINCENT DE CIUTIIS
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Credential |
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Telephone | 559-321-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 040000484
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License Number State | CA
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