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General NPI Number Information
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NPI Number | 1720943392
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Entity Type | Organization
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Legal Business Name | CHERRY CLINIC - FARMERSVILLE
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1825 NORTH FARMERSVILLE BLVD
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City | FARMERSVILLE
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State | CA
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Zip | 93223
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Country | US
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Telephone | 510-469-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 40657 ROAD 128
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City | CUTLER
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State | CA
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Zip | 93615-2003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WENBO LIU
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Credential | PHARMD
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Telephone | 510-469-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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