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General NPI Number Information
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NPI Number | 1275956104
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Entity Type | Individual
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Provider Name | CHRISTINA CRUZ
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Gender | Female
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1225 M ST CORRECTIONAL HEALTH, 2ND FL
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City | FRESNO
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State | CA
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Zip | 93721-1805
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Country | US
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Telephone | 559-600-9352
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Fax | 559-442-5277
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Provider Business Mailing Address
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Address Line | PO BOX 11867 CORRECTIONAL HEALTH
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City | FRESNO
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State | CA
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Zip | 93775-1867
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Country | US
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Telephone | 559-600-3229
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Fax | 559-600-7732
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 265123
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License Number State | CA
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