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NPI 1285287763

NPI 1285287763 : DANIEL ARHEWOH NURSE PRACTITIONER : ARLINGTON, TX

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General NPI Number Information
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    NPI Number           |    1285287763
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL ARHEWOH NURSE PRACTITIONER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/23/2019
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    Last Update Date     |    11/09/2023
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Provider Practice Location Address
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    Address Line         |    110 W RANDOL MILL RD STE 200 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76011-4612
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    Country              |    US
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    Telephone            |    682-392-5252
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    110 W RANDOL MILL RD STE 200 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76011-4612
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    Country              |    US
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    Telephone            |    682-392-5252
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    Fax                  |    817-549-1161
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    AP141584
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    License Number State |    TX
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