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General NPI Number Information
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NPI Number | 1780737171
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Entity Type | Organization
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Legal Business Name | FRESNO COUNTY COALINGA MH CLINIC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 311 COALINGA PLAZA
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City | COALINGA
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State | CA
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Zip | 93210-1703
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Country | US
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Telephone | 559-935-2058
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Fax |
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Provider Business Mailing Address
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Address Line | 4441 E KINGS CANYON RD
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City | FRESNO
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State | CA
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Zip | 93702-3604
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Country | US
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Telephone | 559-253-9180
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, FRESNO CO MENTAL HEALTH
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Name | MRS. GIANG T NGUYEN
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Credential |
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Telephone | 559-253-9180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | CA
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