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General NPI Number Information
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NPI Number | 1033218821
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Entity Type | Individual
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Provider Name | ARLES PERDOMO
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 3677 CENTRAL AVE STE I
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City | FORT MYERS
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State | FL
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Zip | 33901-8226
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Country | US
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Telephone | 239-944-0918
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Fax | 239-237-5165
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Provider Business Mailing Address
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Address Line | 3677 CENTRAL AVE STE I
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City | FORT MYERS
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State | FL
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Zip | 33901-8226
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Country | US
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Telephone | 239-944-0918
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Fax | 239-237-5165
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME87444
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME87444
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME874444
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License Number State | FL
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