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NPI 1093954414

NPI 1093954414 : ARMANDO G. JARRIN NCTMB : VERO BEACH, FL

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General NPI Number Information
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    NPI Number           |    1093954414
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    Entity Type          |    Individual 
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    Provider Name        |    ARMANDO G. JARRIN NCTMB
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/09/2009
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    Last Update Date     |    11/10/2009
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Provider Practice Location Address
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    Address Line         |    973 37TH PL 
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    City                 |    VERO BEACH
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    State                |    FL
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    Zip                  |    32960-6541
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    Country              |    US
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    Telephone            |    772-567-2230
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    Fax                  |    772-567-2790
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Provider Business Mailing Address
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    Address Line         |    PO BOX 650852 
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    City                 |    VERO BEACH
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    State                |    FL
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    Zip                  |    32965-0852
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    Country              |    US
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    Telephone            |    772-567-2230
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    Fax                  |    772-567-2790
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    MA27654
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    License Number State |    FL
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