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General NPI Number Information
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NPI Number | 1033284377
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Entity Type | Individual
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Provider Name | DANIEL ARENAS JR. P.A.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 451 CLARKSON AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-2057
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Country | US
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Telephone | 718-245-4709
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Fax |
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Provider Business Mailing Address
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Address Line | 815 FOX ST APT 1A
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City | BRONX
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State | NY
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Zip | 10459-5150
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Country | US
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Telephone | 718-860-1344
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 011194
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-05020
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License Number State | NC
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