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General NPI Number Information
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NPI Number | 1144260605
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Entity Type | Individual
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Provider Name | NICANOR CHRISTOPHER ARCA MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 06/23/2012
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Provider Practice Location Address
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Address Line | 300 E CHURCH ST
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City | ORLANDO
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State | FL
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Zip | 32801-3544
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Country | US
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Telephone | 407-233-1844
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 783427
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City | WINTER GARDEN
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State | FL
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Zip | 34778-3427
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Country | US
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Telephone | 407-575-0496
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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 | ME92331
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License Number State | FL
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