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General NPI Number Information
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NPI Number | 1831017417
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Entity Type | Organization
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Legal Business Name | FRESNO VA MEDICAL CENTER
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 2615 E CLINTON AVE
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City | FRESNO
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State | CA
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Zip | 93703-2223
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Country | US
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Telephone | 559-225-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 5642 E GROVE AVE
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City | FRESNO
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State | CA
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Zip | 93727-8834
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Country | US
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Telephone | 559-907-1702
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE INPATIENT MH
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Name | JIWAN SINGH TIWANA
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Credential | RN
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Telephone | 559-907-1702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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