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General NPI Number Information
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NPI Number | 1205845567
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Entity Type | Organization
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Legal Business Name | SAINT AGNES MEDICAL CENTER
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1303 E HERNDON AVE
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City | FRESNO
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State | CA
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Zip | 93720-3309
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Country | US
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Telephone | 559-450-3000
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Fax | 559-450-3990
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Provider Business Mailing Address
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Address Line | 1303 E HERNDON AVE
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City | FRESNO
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State | CA
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Zip | 93720-3309
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Country | US
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Telephone | 559-450-3000
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Fax | 559-450-3990
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Authorized Official
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Title or Position | CFO WEST REGION
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Name | LANNIE CHECKETTS
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Credential |
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Telephone | 208-367-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 40000173
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License Number State | CA
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