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General NPI Number Information
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NPI Number | 1992149231
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Entity Type | Individual
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Provider Name | ASHENAFI AYELE LEGESSE M.D
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Gender | Male
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 7202 N MILLBROOK AVE STE 202
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City | FRESNO
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State | CA
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Zip | 93720-3341
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Country | US
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Telephone | 559-664-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 730 N I ST STE 202
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City | MADERA
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State | CA
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Zip | 93637-3077
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Country | US
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Telephone | 559-664-4000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A138206
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License Number State | CA
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