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General NPI Number Information
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NPI Number | 1275975989
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Entity Type | Individual
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Provider Name | MR. ALFRED GARCIA URBANO JR.
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Gender | Male
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 258 N BLACKSTONE AVE
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City | FRESNO
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State | CA
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Zip | 93701-1913
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Country | US
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Telephone | 559-274-0299
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Fax | 559-268-0473
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Provider Business Mailing Address
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Address Line | 258 N BLACKSTONE AVE
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City | FRESNO
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State | CA
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Zip | 93701-1913
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Country | US
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Telephone | 559-274-0299
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Fax | 559-268-0473
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ASW-72297
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License Number State | CA
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