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General NPI Number Information
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NPI Number | 1346405339
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Entity Type | Organization
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Legal Business Name | UCSF FRESNO
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Dates
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Enumeration Date | 07/19/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 6665 N FRESNO ST 101
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City | FRESNO
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State | CA
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Zip | 93710-3728
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Country | US
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Telephone | 832-597-7775
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Fax |
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Provider Business Mailing Address
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Address Line | 155 N FRESNO ST STE 307
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City | FRESNO
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State | CA
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Zip | 93701-2302
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Country | US
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Telephone | 559-466-6500
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. IVY DARDEN
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Credential | M.D
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Telephone | 559-499-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A105695
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License Number State | CA
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