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General NPI Number Information
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NPI Number | 1902020571
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Entity Type | Organization
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Legal Business Name | VIRENDER S. KALEKA, M.D.
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 141 N. CLARK ST, SUITE A
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City | FRESNO
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State | CA
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Zip | 93701-2124
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Country | US
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Telephone | 559-264-0565
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Fax | 559-264-0567
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Provider Business Mailing Address
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Address Line | 2057 HIGH ST
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City | SELMA
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State | CA
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Zip | 93662-3512
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Country | US
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Telephone | 559-897-5399
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Fax | 559-897-9670
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LYNNE C. WARFORD
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Credential |
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Telephone | 559-897-5399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A43546
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License Number State | CA
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