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General NPI Number Information
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NPI Number | 1740905322
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Entity Type | Organization
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Legal Business Name | JKW HEALTHCARE
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Dates
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Enumeration Date | 10/06/2022
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1111 E WARNER AVE STE 102
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City | FRESNO
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State | CA
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Zip | 93710-4030
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Country | US
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Telephone | 559-512-7313
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Fax | 559-512-7153
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Provider Business Mailing Address
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Address Line | 2845 E GOSHEN AVE
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City | FRESNO
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State | CA
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Zip | 93720-0528
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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 | PRESIDENT
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Name | JIAKUN WANG
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Credential |
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Telephone | 615-423-9545
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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