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General NPI Number Information
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NPI Number | 1811243132
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Entity Type | Individual
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Provider Name | MISS JANET FORELO
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Gender | Female
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 45 E SANTA ANA AVE APT 101
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City | FRESNO
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State | CA
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Zip | 93704-2927
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Country | US
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Telephone | 555-206-9402
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Fax |
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Provider Business Mailing Address
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Address Line | 2037 W BULLARD AVE PMB 351
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City | FRESNO
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State | CA
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Zip | 93711-1200
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Country | US
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Telephone | 559-835-7675
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 80739
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License Number State | CA
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