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General NPI Number Information
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NPI Number | 1962213025
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Entity Type | Organization
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Legal Business Name | COUNTY OF FRESNO
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 3333 E AMERICAN AVE
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City | FRESNO
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State | CA
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Zip | 93725-9247
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Country | US
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Telephone | 559-600-5040
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 E AMERICAN AVE STE B
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City | FRESNO
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State | CA
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Zip | 93725-9248
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Country | US
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Telephone | 559-600-5040
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Fax |
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Authorized Official
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Title or Position | ASSISTANT DEPUTY CHIEF
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Name | MELISSA MADSEN-DOWNING
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Credential |
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Telephone | 559-600-4896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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