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General NPI Number Information
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NPI Number | 1588472922
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Entity Type | Organization
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Legal Business Name | NATIONAL ALLIANCE ON MENTAL ILLNESS FRESNO
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 7545 N DEL MAR AVE STE 105
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City | FRESNO
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State | CA
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Zip | 93711-6872
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Country | US
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Telephone | 559-224-2469
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Fax |
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Provider Business Mailing Address
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Address Line | 7545 N DEL MAR AVE STE 105
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City | FRESNO
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State | CA
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Zip | 93711-6872
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Country | US
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Telephone | 559-224-2469
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. DR. AMY PARKS
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Credential | DSW, LCSW
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Telephone | 559-224-2469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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