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General NPI Number Information
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NPI Number | 1861321036
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Entity Type | Organization
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Legal Business Name | ATLAS VALLEY DERMATOLOGY MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1827 S COURT ST STE C
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City | VISALIA
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State | CA
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Zip | 93277-5469
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Country | US
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Telephone | 559-529-2177
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Fax | 559-468-0114
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Provider Business Mailing Address
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Address Line | PO BOX 89
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City | VISALIA
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State | CA
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Zip | 93279-0089
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Country | US
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Telephone | 559-300-2628
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Fax | 559-468-0114
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Authorized Official
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Title or Position | CFO
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Name | APRIL DAWN MATTHEWS
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Credential | NP
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Telephone | 559-300-2628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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