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General NPI Number Information
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NPI Number | 1841837366
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Entity Type | Individual
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Provider Name | MADELINE NAZARIO MD
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Gender | Female
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 4411 E CESAR CHAVEZ BLVD # 319
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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 | 559-600-2382
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Fax | 559-475-7866
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Provider Business Mailing Address
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Address Line | HC 8 BOX 2716
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City | SABANA GRANDE
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State | PR
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Zip | 00637-9229
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Country | US
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Telephone | 407-967-2352
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 36888-R
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License Number State | PR
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