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General NPI Number Information
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NPI Number | 1861207862
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Entity Type | Organization
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Legal Business Name | ENT ASSOCIATES OF FRESNO INC
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Dates
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Enumeration Date | 02/08/2025
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 540 E HERNDON AVE STE 102
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City | FRESNO
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State | CA
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Zip | 93720-2993
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Country | US
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Telephone | 805-717-0726
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Fax |
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Provider Business Mailing Address
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Address Line | 7726 N 1ST ST # 344
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City | FRESNO
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State | CA
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Zip | 93720-0989
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DR. JOHN KERR
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Credential | DO
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Telephone | 559-768-3682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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