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General NPI Number Information
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NPI Number | 1750737953
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Entity Type | Organization
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Legal Business Name | CALIFORNIA INTEGRATIVE HEALTHCARE A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 1180 E SHAW AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93710-7812
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Country | US
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Telephone | 559-389-0622
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Fax | 559-389-7809
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Provider Business Mailing Address
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Address Line | 373 E SHAW AVE STE 332
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City | FRESNO
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State | CA
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Zip | 93710-7609
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Country | US
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Telephone | 559-389-0622
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Fax | 559-389-0763
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Authorized Official
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Title or Position | OWNER
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Name | SONAL PATEL
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Credential | ND
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Telephone | 559-455-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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