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General NPI Number Information
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NPI Number | 1669929246
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Entity Type | Individual
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Provider Name | ADRIAN MICHAEL MEDINA CNM
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Gender | Male
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 2471 E FIR AVE
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City | FRESNO
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State | CA
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Zip | 93720-0536
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Country | US
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Telephone | 559-881-6151
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Fax | 559-261-9324
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Provider Business Mailing Address
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Address Line | PO BOX 889442
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City | LOS ANGELES
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State | CA
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Zip | 90088-9442
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Country | US
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Telephone | 559-603-7389
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 236532
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License Number State | CA
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