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General NPI Number Information
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NPI Number | 1285744029
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Entity Type | Individual
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Provider Name | ANTHONY ALAN ARVELLO PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 1000 CRAIG DR
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City | AMARILLO
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State | TX
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Zip | 79106-4015
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Country | US
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Telephone | 806-331-7905
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Fax | 806-731-1516
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Provider Business Mailing Address
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Address Line | PO BOX 3046
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City | MALVERN
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State | PA
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Zip | 19355-0746
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Country | US
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Telephone | 806-351-7070
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA02103
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA02103
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License Number State | TX
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