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General NPI Number Information
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NPI Number | 1174434757
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Entity Type | Individual
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Provider Name | MARY ANTOINETTE ILUMIN ARBITRARIO
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 23324 NW 178TH AVE
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-4283
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Country | US
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Telephone | 386-289-1761
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Fax |
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Provider Business Mailing Address
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Address Line | 23324 NW 178TH AVE
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-4283
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Country | US
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Telephone | 386-289-1761
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 494425
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License Number State | FL
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