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General NPI Number Information
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NPI Number | 1649151457
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Entity Type | Organization
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Legal Business Name | ALOHA TMS A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 180 W BULLARD AVE STE 105
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City | CLOVIS
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State | CA
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Zip | 93612-0998
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Country | US
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Telephone | 559-203-3775
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Fax |
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Provider Business Mailing Address
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Address Line | 180 W BULLARD AVE STE 105
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City | CLOVIS
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State | CA
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Zip | 93612-0998
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Country | US
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Telephone | 559-203-3775
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. NANTHANAEL LACLE
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Credential |
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Telephone | 559-905-4220
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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 |
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License Number State |
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