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General NPI Number Information
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NPI Number | 1902481401
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Entity Type | Individual
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Provider Name | BAO VANG
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Gender | Female
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 2011 FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93721-1722
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Country | US
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Telephone | 559-457-6088
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Fax |
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Provider Business Mailing Address
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Address Line | 4879 E CESAR CHAVEZ BLVD
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City | FRESNO
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State | CA
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Zip | 93727-3811
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Country | US
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Telephone | 559-722-8274
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 132441
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 132441
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License Number State | CA
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