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General NPI Number Information
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NPI Number | 1326886227
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Entity Type | Individual
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Provider Name | STEPHANIE R LOZANO
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Gender | Female
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Dates
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Enumeration Date | 07/16/2024
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 4468 E CESAR CHAVEZ BLVD BLDG 340
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City | FRESNO
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State | CA
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Zip | 93702-3605
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Country | US
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Telephone | 559-600-2638
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Fax |
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Provider Business Mailing Address
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Address Line | 630 W ASHCROFT AVE
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City | CLOVIS
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State | CA
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Zip | 93612-4810
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Country | US
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Telephone | 559-451-7134
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW126532
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License Number State | CA
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