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General NPI Number Information
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NPI Number | 1457573651
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Entity Type | Organization
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Legal Business Name | CENTRAL CALIFORNIA BLOOD CENTER
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3445 N 1ST ST
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City | FRESNO
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State | CA
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Zip | 93726-6864
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Country | US
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Telephone | 559-224-2900
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Fax | 559-225-1602
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Provider Business Mailing Address
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Address Line | 3445 N 1ST ST
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City | FRESNO
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State | CA
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Zip | 93726-6864
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Country | US
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Telephone | 559-224-2900
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Fax | 559-225-1602
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Authorized Official
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Title or Position | CFO
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Name | KENNETH BENELL
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Credential |
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Telephone | 559-224-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CLF4466
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License Number State | CA
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