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General NPI Number Information
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NPI Number | 1336277144
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Entity Type | Organization
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Legal Business Name | FRESNO COUNTY PATHS
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 515 S CEDAR AVE
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City | FRESNO
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State | CA
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Zip | 93702-2908
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Country | US
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Telephone | 559-453-8300
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Fax | 559-453-8916
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Provider Business Mailing Address
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Address Line | 4411 E KINGS CANYON RD
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City | FRESNO
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State | CA
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Zip | 93702-3604
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Country | US
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Telephone | 559-253-9180
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, FRESNO CO BEHAVIORAL HLTH
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Name | MS. GIANG T NGUYEN
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Credential | RN
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Telephone | 559-253-9180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 101030
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License Number State | CA
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