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General NPI Number Information
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NPI Number | 1396921482
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Entity Type | Organization
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Legal Business Name | VALLEY CHILDREN'S MEDICAL CENTER, A.M.C.
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 4646 N 1ST ST STE 102
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City | FRESNO
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State | CA
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Zip | 93726-0973
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Country | US
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Telephone | 559-226-4646
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Fax | 559-227-4646
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Provider Business Mailing Address
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Address Line | 4646 N 1ST ST STE 102
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City | FRESNO
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State | CA
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Zip | 93726-0973
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Country | US
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Telephone | 559-226-4646
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Fax | 559-227-4646
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Authorized Official
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Title or Position | PRESIDENT
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Name | NAVEEN JINDAL
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Credential |
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Telephone | 559-226-4646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A115072
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License Number State | CA
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