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General NPI Number Information
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NPI Number | 1003557489
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Entity Type | Individual
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Provider Name | ARTHUR JOSEPH MESTAS MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 777 SONGTAN BOULEVARD UNIT 2060
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City | OSAN AIR BASE
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State | GYEONGGI
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Zip | APO AP 96278 2060
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Country | KR
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Telephone | 505-784-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 777 SONGTAN BOULEVARD UNIT 2060
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City | OSAN AIR BASE
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State | GYEONGGI
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Zip | APO AP 96278 2060
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Country | KR
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35925
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License Number State | NE
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