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General NPI Number Information
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NPI Number | 1497530828
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Entity Type | Individual
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Provider Name | JI IN HAN FNP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 106 POLLASKY AVE STE D
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City | CLOVIS
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State | CA
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Zip | 93612-1159
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Country | US
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Telephone | 559-203-3775
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Fax | 559-751-0029
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Provider Business Mailing Address
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Address Line | 5137 LAKEWOOD DR
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City | VISALIA
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State | CA
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Zip | 93291-9016
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Country | US
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Telephone | 805-406-4915
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Fax | 559-751-0029
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95041167
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License Number State | CA
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