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General NPI Number Information
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NPI Number | 1467809301
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTHCARE NETWORK
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 31954 COUNTRY CLUB DRIVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-9607
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Country | US
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Telephone | 877-960-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 305 E CENTER AVE
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City | VISALIA
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State | CA
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Zip | 93291-6331
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Country | US
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Telephone | 559-737-4700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | KERRY HYDASH
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Credential |
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Telephone | 559-737-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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