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General NPI Number Information
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NPI Number | 1366885816
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Entity Type | Individual
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Provider Name | MR. ANDREW ARELLANO
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Gender | Male
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 4301 S PINE ST STE 505
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City | TACOMA
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State | WA
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Zip | 98409-7208
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Country | US
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Telephone | 253-292-4354
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Fax |
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Provider Business Mailing Address
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Address Line | 5431 DAHL DR
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City | TACOMA
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State | WA
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Zip | 98406-2629
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Country | US
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Telephone | 510-427-8502
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CL60239428
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BA60767640
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License Number State | WA
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