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General NPI Number Information
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NPI Number | 1457175952
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Entity Type | Individual
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Provider Name | ANJELICA ARELLANO
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 24050 ALISO CREEK RD
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-3950
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Country | US
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Telephone | 949-317-4454
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Fax |
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Provider Business Mailing Address
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Address Line | 145 HUNTINGTON
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City | IRVINE
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State | CA
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Zip | 92620-3791
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Country | US
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Telephone | 909-914-9752
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 53609
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License Number State | CA
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