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General NPI Number Information
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NPI Number | 1477365880
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Entity Type | Individual
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Provider Name | DANIELA ARREDONDO FNP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 9197 CENTRAL AVE STE H
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City | MONTCLAIR
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State | CA
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Zip | 91763-1616
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Country | US
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Telephone | 909-827-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 1148 ELISA DAWN DR
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City | BANNING
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State | CA
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Zip | 92220-1228
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Country | US
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Telephone | 909-964-7629
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95033168
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License Number State | CA
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