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General NPI Number Information
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NPI Number | 1851115398
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Entity Type | Organization
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Legal Business Name | SIA'S PLACE WELLNESS CENTER
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 4938 E YALE AVE
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City | FRESNO
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State | CA
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Zip | 93727-1576
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Country | US
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Telephone | 559-515-1696
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Fax |
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Provider Business Mailing Address
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Address Line | 151 N VILLA AVE
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City | FRESNO
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State | CA
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Zip | 93727-3257
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Country | US
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Telephone | 559-515-1696
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SIA XIONG-LOPEZ
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Credential |
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Telephone | 559-515-1696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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