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General NPI Number Information
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NPI Number | 1366004475
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Entity Type | Individual
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Provider Name | JAVIER AUGUSTO ARREAZA CARABALLO MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 7650 RIVER RD STE 120
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-6527
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Country | US
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Telephone | 201-710-2768
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Fax | 201-710-2769
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5792
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Country | US
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Telephone |
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Fax | 201-710-2769
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA12609400
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License Number State | NJ
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