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General NPI Number Information
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NPI Number | 1356264964
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Entity Type | Organization
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Legal Business Name | XENCARE IV, INC.
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 6601 N MERIDIAN AVE
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City | FRESNO
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State | CA
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Zip | 93710-4632
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Country | US
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Telephone | 559-434-1839
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Fax |
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Provider Business Mailing Address
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Address Line | 7084 N MAPLE AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93720-0393
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Country | US
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Telephone | 559-434-1839
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GEORGE KUTNERIAN
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Credential |
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Telephone | 559-301-1393
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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