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General NPI Number Information
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NPI Number | 1134827892
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Entity Type | Individual
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Provider Name | JAMES PAUL ARELLANO MSOM
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Gender | Male
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 1540 SE CLINTON ST
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City | PORTLAND
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State | OR
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Zip | 97202-1130
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Country | US
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Telephone | 503-914-2717
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Fax |
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Provider Business Mailing Address
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Address Line | 3945 SE 33RD PL
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City | PORTLAND
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State | OR
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Zip | 97202-3440
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Country | US
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Telephone | 503-758-5407
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC213899
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License Number State | OR
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