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General NPI Number Information
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NPI Number | 1851539803
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Entity Type | Organization
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Legal Business Name | FRESNO COUNTY DEPARTMENT OF CHILDREN AND FAMILY SERVICES
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 3133 N MILLBROOK AVE
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City | FRESNO
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State | CA
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Zip | 93703-1425
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Country | US
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Telephone | 559-453-5784
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Fax |
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Provider Business Mailing Address
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Address Line | 3133 N MILLBROOK AVE
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City | FRESNO
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State | CA
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Zip | 93703-1425
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Country | US
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Telephone | 559-453-5784
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Fax |
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Authorized Official
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Title or Position | CHIEF CHILD PSYCHIATRIST
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Name | DR. JOSEPH ALIMASUYA
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Credential | M.D.
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Telephone | 559-453-5784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | VN232268
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License Number State | CA
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