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General NPI Number Information
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NPI Number | 1033413455
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Entity Type | Individual
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Provider Name | GERARDO ARREGUIN P.A
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Gender | Male
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Dates
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Enumeration Date | 12/28/2010
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | 210 E SUNSET DR N
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City | REDLANDS
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State | CA
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Zip | 92373-6860
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Country | US
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Telephone | 909-965-8965
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Fax |
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Provider Business Mailing Address
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Address Line | 210 E SUNSET DR N
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City | REDLANDS
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State | CA
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Zip | 92373-6860
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Country | US
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Telephone | 909-965-8965
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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 | PA20766
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License Number State | CA
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