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General NPI Number Information
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NPI Number | 1376953232
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Entity Type | Individual
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Provider Name | CARLOS ARIAS MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 02/03/2019
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Provider Practice Location Address
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Address Line | 500 GRAND AVE STE 100
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4968
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Country | US
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Telephone | 201-567-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 3715 27TH ST APT 2C
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-2627
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Country | US
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Telephone | 718-440-1999
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 295106
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License Number State | NY
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