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General NPI Number Information
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NPI Number | 1588794218
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Entity Type | Organization
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Legal Business Name | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 215 N FRESNO ST STE 490
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City | FRESNO
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State | CA
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Zip | 93701-2363
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Country | US
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Telephone | 559-459-6927
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Fax | 559-459-6947
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Provider Business Mailing Address
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Address Line | 2823 FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93721-1324
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Country | US
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Telephone | 559-459-5088
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Fax | 559-459-6914
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Authorized Official
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Title or Position | CEO
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Name | CRAIG ALLEN WAGONER
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Credential |
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Telephone | 559-324-4266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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