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General NPI Number Information
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NPI Number | 1497689152
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Entity Type | Organization
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Legal Business Name | OAKSTONE PSYCHIATRIC PRACTICE
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 3435 S DEMAREE ST STE C
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City | VISALIA
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State | CA
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Zip | 93277-7006
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Country | US
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Telephone | 559-258-1644
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Fax | 559-258-1624
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Provider Business Mailing Address
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Address Line | 3435 S DEMAREE ST STE C
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City | VISALIA
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State | CA
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Zip | 93277-7006
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Country | US
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Telephone | 559-258-1644
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Fax | 559-258-1624
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Authorized Official
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Title or Position | OWNER/CEO
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Name | CORY JAQUES
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Credential | MD
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Telephone | 507-312-0165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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