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General NPI Number Information
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NPI Number | 1457010209
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Entity Type | Organization
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Legal Business Name | HNC, LLC
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 576 MAGNOLIA AVE.
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City | CLOVIS
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State | CA
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Zip | 93611
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 576 N MAGNOLIA AVE
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City | CLOVIS
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State | CA
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Zip | 93611-9207
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Country | US
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Telephone | 559-242-2820
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOHN WIEMANN
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Credential | MD
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Telephone | 937-614-9594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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