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General NPI Number Information
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NPI Number | 1205351228
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Entity Type | Individual
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Provider Name | JASMINE MARIE PABLO ARNALDO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 1600 CROSSWAYS BLVD STE A
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2895
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Country | US
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Telephone | 757-282-4070
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Fax | 757-440-3288
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Provider Business Mailing Address
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Address Line | 1600 CROSSWAYS BLVD STE A
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2895
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Country | US
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Telephone | 757-282-4070
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024175081
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License Number State | VA
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