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General NPI Number Information
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NPI Number | 1699809400
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Entity Type | Organization
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Legal Business Name | FRESNO COUNTY FOSTER CARE ASO
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1221 FULTON MALL
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City | FRESNO
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State | CA
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Zip | 93721-1915
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Country | US
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Telephone | 559-453-3806
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Fax |
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Provider Business Mailing Address
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Address Line | 4441 E KINGS CANYON RD
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City | FRESNO
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State | CA
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Zip | 93702-3604
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Country | US
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Telephone | 559-253-9180
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, FRESNO CO MENTAL HEALTH
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Name | GIANG T NGUYEN
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Credential |
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Telephone | 559-253-9180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 0000010ZZ
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License Number State | CA
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