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General NPI Number Information
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NPI Number | 1033493929
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Entity Type | Individual
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Provider Name | ALEX ARIRI NP
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Gender | Male
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 2662 ELMWOOD RD
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City | ROCKFORD
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State | IL
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Zip | 61103-1573
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Country | US
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Telephone | 815-639-2723
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Fax |
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Provider Business Mailing Address
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Address Line | 5079 LINDEN RD APT 1310
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City | ROCKFORD
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State | IL
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Zip | 61109-3596
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Country | US
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Telephone | 815-519-0417
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209009122
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License Number State | IL
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