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General NPI Number Information
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NPI Number | 1508516105
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Entity Type | Individual
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Provider Name | YESENIA CALDERON LEON
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Gender | Female
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1000 N MOONEY BLVD
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City | TULARE
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State | CA
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Zip | 93274-2417
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Country | US
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Telephone | 559-685-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 400 W MINERAL KING AVE
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City | VISALIA
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State | CA
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Zip | 93291-6237
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Country | US
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Telephone | 559-624-2000
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A190083
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License Number State | CA
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