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General NPI Number Information
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NPI Number | 1740176304
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Entity Type | Individual
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Provider Name | OLGA ANDRADE
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2945 N MADERA AVE
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City | KERMAN
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State | CA
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Zip | 93630-9759
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Country | US
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Telephone | 559-540-6802
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Fax |
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Provider Business Mailing Address
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Address Line | 114 E SHAW AVE STE 210
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City | FRESNO
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State | CA
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Zip | 93710-7621
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Country | US
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Telephone | 559-230-0920
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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