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General NPI Number Information
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NPI Number | 1700890043
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Entity Type | Organization
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Legal Business Name | FRESNO MEDICAL CENTER INC
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 6069 N 1ST ST STE 103
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City | FRESNO
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State | CA
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Zip | 93710-5467
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Country | US
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Telephone | 559-431-8900
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Fax | 559-431-4367
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Provider Business Mailing Address
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Address Line | PO BOX 25880
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City | FRESNO
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State | CA
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Zip | 93729-5880
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Country | US
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Telephone | 559-431-8900
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Fax | 559-431-4367
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GURMEJ SINGH DHILLON
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Credential | M.D.
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Telephone | 559-431-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | AQ861Z
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License Number State | CA
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