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General NPI Number Information
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NPI Number | 1982056842
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Entity Type | Organization
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Legal Business Name | CLEARVISIONMEDICALCENTER
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Dates
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Enumeration Date | 07/05/2016
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 5359 N FRESNO ST STE 101
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City | FRESNO
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State | CA
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Zip | 93710-6831
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Country | US
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Telephone | 559-439-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 5359 N FRESNO ST STE 101 #101F
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City | FRESNO
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State | CA
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Zip | 93710
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Country | US
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Telephone | 559-439-2040
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Fax | 877-425-1429
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Authorized Official
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Title or Position | MD
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Name | PARAM FAGOORA
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Credential | PARAMJIT FAGOORA
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Telephone | 559-439-2040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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