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General NPI Number Information
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NPI Number | 1730073040
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Entity Type | Organization
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Legal Business Name | CULTIVA LA SALUD
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 2409 MERCED ST STE 103
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City | FRESNO
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State | CA
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Zip | 93721-1829
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Country | US
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Telephone | 559-498-0870
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Fax |
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Provider Business Mailing Address
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Address Line | 2409 MERCED ST STE 103
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City | FRESNO
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State | CA
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Zip | 93721-1829
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Country | US
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Telephone | 559-498-0870
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Fax |
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Authorized Official
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Title or Position | PROJECT MANAGER
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Name | EVELYN MORALES
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Credential |
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Telephone | 559-340-8865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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