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General NPI Number Information
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NPI Number | 1336220862
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Entity Type | Individual
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Provider Name | FREDERICK S ARREDONDO MD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 33 NANCY BLVD
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City | MERRICK
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State | NY
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Zip | 11566-3122
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Country | US
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Telephone | 516-378-4818
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Fax | 516-378-4818
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Provider Business Mailing Address
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Address Line | 33 NANCY BLVD
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City | MERRICK
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State | NY
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Zip | 11566-3122
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Country | US
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Telephone | 516-378-4818
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Fax | 516-378-4818
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 218366
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License Number State | NY
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