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General NPI Number Information
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NPI Number | 1235015934
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Entity Type | Individual
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Provider Name | ELICIA CISNEROS
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 3333 E KAWEAH AVE
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City | VISALIA
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State | CA
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Zip | 93292-3313
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Country | US
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Telephone | 559-730-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 1388 BRIARWOOD DR
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City | DINUBA
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State | CA
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Zip | 93618-3735
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Country | US
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Telephone | 559-786-4301
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 210145613
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License Number State | CA
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