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General NPI Number Information
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NPI Number | 1528177250
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Entity Type | Individual
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Provider Name | JORGE A URBINA MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 4411 E CESAR CHAVEZ BLVD
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City | FRESNO
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State | CA
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Zip | 93702-3604
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Country | US
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Telephone | 559-453-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 2738 HANSON AVE
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City | CLOVIS
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State | CA
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Zip | 93611-5021
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Country | US
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Telephone | 559-307-5113
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A72067
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License Number State | CA
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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 | 72067
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License Number State | CA
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