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NPI 1104537968

NPI 1104537968 : MOISES ARANDA : WOODLAND, CA

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General NPI Number Information
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    NPI Number           |    1104537968
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    Entity Type          |    Individual 
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    Provider Name        |    MOISES ARANDA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/12/2022
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    Last Update Date     |    11/21/2025
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Provider Practice Location Address
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    Address Line         |    215 W BEAMER ST 
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    City                 |    WOODLAND
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    State                |    CA
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    Zip                  |    95695-2510
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    Country              |    US
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    Telephone            |    530-405-2800
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    Fax                  |    530-204-5295
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Provider Business Mailing Address
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    Address Line         |    1141 PEAR TREE LN 
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    City                 |    NAPA
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    State                |    CA
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    Zip                  |    94558-6484
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    Country              |    US
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    Telephone            |    
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    66619
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    License Number State |    CA
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