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General NPI Number Information
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NPI Number | 1386596963
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Entity Type | Individual
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Provider Name | JOSE PEVEN JUMILLA ARIOLA
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Gender | Male
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 229 E COMMONWEALTH AVE APT 318
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City | FULLERTON
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State | CA
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Zip | 92832-4908
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Country | US
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Telephone | 559-430-4179
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Fax |
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Provider Business Mailing Address
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Address Line | 229 E COMMONWEALTH AVE APT 318
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City | FULLERTON
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State | CA
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Zip | 92832-4908
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95254029
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95039872
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License Number State | CA
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