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General NPI Number Information
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NPI Number | 1407580327
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Entity Type | Organization
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Legal Business Name | LYLE FESTER, INC.
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 5150 N 6TH ST STE 111
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City | FRESNO
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State | CA
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Zip | 93710-7505
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Country | US
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Telephone | 559-224-9442
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Fax | 559-224-9450
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Provider Business Mailing Address
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Address Line | 214 SABINA CT
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City | DANVILLE
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State | CA
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Zip | 94526-3632
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Country | US
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Telephone | 415-528-5140
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Fax | 925-820-8845
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Authorized Official
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Title or Position | CFO
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Name | ANDREW HOWARD
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Credential |
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Telephone | 415-528-5140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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