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General NPI Number Information
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NPI Number | 1902528441
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Entity Type | Organization
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Legal Business Name | THE MEDICAL PARTNERS GROUP, INC.
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 568 E HERNDON AVE STE 102
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City | FRESNO
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State | CA
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Zip | 93720-2989
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Country | US
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Telephone | 559-221-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 568 E HERNDON AVE STE 102
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City | FRESNO
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State | CA
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Zip | 93720-2989
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Country | US
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Telephone | 559-221-7500
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | ERICA VEGA
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Credential |
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Telephone | 559-710-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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