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General NPI Number Information
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NPI Number | 1265661110
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Entity Type | Individual
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Provider Name | ELIZABETH E. ARVIZU NP
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Gender | Female
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 715 TANK FARM RD STE C
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7068
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Country | US
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Telephone | 805-543-5577
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Fax | 805-595-3231
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Provider Business Mailing Address
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Address Line | 1325 E CHURCH ST STE 301
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City | SANTA MARIA
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State | CA
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Zip | 93454-5915
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Country | US
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Telephone | 805-349-9393
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Fax | 805-614-7929
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 368111
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License Number State | CA
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