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NPI 1992176267

NPI 1992176267 : ARIA COMMUNITY HEALTH CENTER : STRATFORD, CA

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General NPI Number Information
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    NPI Number           |    1992176267
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARIA COMMUNITY HEALTH CENTER 
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Dates
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    Enumeration Date     |    10/13/2015
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    20326 MAIN STREET 
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    City                 |    STRATFORD
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    State                |    CA
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    Zip                  |    93266
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    Country              |    US
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    Telephone            |    559-386-4502
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 700 
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    City                 |    AVENAL
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    State                |    CA
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    Zip                  |    93204-0700
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    Country              |    US
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    Telephone            |    559-386-4500
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     JOHN  BLAINE 
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    Credential           |    
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    Telephone            |    559-925-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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    License Number       |    
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    License Number State |    
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