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General NPI Number Information
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NPI Number | 1760863187
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Entity Type | Organization
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Legal Business Name | SAINT AGNES MEDICAL PROVIDERS
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1303 E HERNDON AVE
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City | FRESNO
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State | CA
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Zip | 93720-3309
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Country | US
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Telephone | 559-450-5792
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Fax |
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Provider Business Mailing Address
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Address Line | 1303 E HERNDON AVE
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City | FRESNO
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State | CA
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Zip | 93720-3309
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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/CEO
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Name | STEVEN SOLDO
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Credential | M.D.
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Telephone | 559-450-5792
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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 | A135961
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License Number State | CA
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