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General NPI Number Information
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NPI Number | 1073256558
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Entity Type | Individual
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Provider Name | LUISA FERNANDA AREVALO MD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 11600 INDIAN HILLS RD
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City | MISSION HILLS
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State | CA
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Zip | 91345-1225
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Country | US
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Telephone | 818-838-4500
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Fax | 818-838-7509
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 702-579-3203
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A189991
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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