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General NPI Number Information
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NPI Number | 1871413906
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Entity Type | Individual
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Provider Name | RENEE CLARKE RN
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Gender | Female
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Dates
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Enumeration Date | 07/18/2026
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Last Update Date | 07/18/2026
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Provider Practice Location Address
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Address Line | 260 N FULTON ST # 260
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City | FRESNO
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State | CA
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Zip | 93701-1609
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Country | US
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Telephone | 301-233-6227
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Fax |
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Provider Business Mailing Address
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Address Line | 260 N FULTON ST
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City | FRESNO
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State | CA
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Zip | 93701-1609
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Country | US
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Telephone | 510-519-1416
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 95287484
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95287484
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License Number State | CA
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