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General NPI Number Information
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NPI Number | 1548122948
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Entity Type | Organization
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Legal Business Name | CENTRAL VALLEY HOSPICE PALLIATIVE MEDICINE PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1805 E FIR AVE STE 104
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City | FRESNO
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State | CA
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Zip | 93720-3859
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Country | US
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Telephone | 559-779-1888
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Fax | 502-496-0152
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Provider Business Mailing Address
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Address Line | 1805 E FIR AVE STE 104
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City | FRESNO
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State | CA
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Zip | 93720-3859
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Country | US
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Telephone | 559-779-1888
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Fax | 502-496-0152
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Authorized Official
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Title or Position | PRESIDENT/MEDICAL DIRECTOR
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Name | DR. SUNDEEP GRANDHE
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Credential | MD, FAAHPM
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Telephone | 559-779-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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