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General NPI Number Information
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NPI Number | 1053000794
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Entity Type | Individual
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Provider Name | ARSENIO DALISAY PANOPIO JR. FNP-C, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 5311 HOPYARD ROAD
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City | PLEASANTON
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State | CA
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Zip | 94588
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Country | US
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Telephone | 925-202-2478
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Fax |
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Provider Business Mailing Address
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Address Line | 2124 HURON DRIVE
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City | CONCORD, CA
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State | CA
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Zip | 94519
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Country | US
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Telephone | 818-223-1689
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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 | 95022526
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License Number State | CA
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