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General NPI Number Information
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NPI Number | 1609182815
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Entity Type | Organization
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Legal Business Name | NORTH FRESNO FAMILY HEALTH
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 6081 N 1ST ST SUITE 104
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City | FRESNO
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State | CA
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Zip | 93710-5466
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Country | US
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Telephone | 559-436-5265
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Fax | 559-436-4958
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Provider Business Mailing Address
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Address Line | 6081 N 1ST ST SUITE 104
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City | FRESNO
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State | CA
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Zip | 93710-5466
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Country | US
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Telephone | 559-436-5265
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Fax | 559-436-4958
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JULIE ANNE GUYETTE
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Credential | FNP
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Telephone | 559-436-5265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 386046
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License Number State | CA
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