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General NPI Number Information
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NPI Number | 1811887474
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Entity Type | Individual
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Provider Name | ARIANA MENDOZA
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Gender |
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1111 E HERNDON AVE STE 202
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City | FRESNO
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State | CA
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Zip | 93720-3100
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Country | US
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Telephone | 559-319-6150
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Fax |
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Provider Business Mailing Address
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Address Line | 16005 W MONTEREY AVE
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City | KERMAN
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State | CA
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Zip | 93630-9579
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Country | US
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Telephone | 559-647-9231
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95035929
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License Number State | CA
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