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General NPI Number Information
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NPI Number | 1356803605
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Entity Type | Organization
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Legal Business Name | PEACE OFFICERS CHAPLAINCY OF FRESNO COUNTY
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 905 N FULTON ST
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City | FRESNO
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State | CA
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Zip | 93728-3411
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Country | US
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Telephone | 559-621-2120
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Fax | 559-457-1188
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Provider Business Mailing Address
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Address Line | 905 N FULTON ST
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City | FRESNO
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State | CA
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Zip | 93728-3411
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Country | US
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Telephone | 559-621-2120
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Fax | 559-457-1188
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RODNEY K. LOWERY
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Credential | M. DIV.
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Telephone | 559-621-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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