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General NPI Number Information
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NPI Number | 1336373554
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Entity Type | Organization
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Legal Business Name | FRESNO COUNTY BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 05/04/2009
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Provider Practice Location 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 | 559-453-8905
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Fax |
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Provider Business Mailing Address
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Address Line | 5108 E CLINTON WAY STE 108
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City | FRESNO
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State | CA
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Zip | 93727-2043
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Country | US
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Telephone | 559-452-3470
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH DIRECTOR
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Name | GIANG NGUYEN
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Credential | RN
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Telephone | 559-452-3463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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