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General NPI Number Information
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NPI Number | 1487367355
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Entity Type | Individual
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Provider Name | JOSEPH NORIEL CORDENILLO ARCENO AGACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 100- A ALTON GLOOR BLVD.
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City | BROWNSVILLE
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State | TX
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Zip | 78526
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Country | US
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Telephone | 956-350-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 4200 LAS PALMAS CIRCLE APT. 410
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City | BROWNSVILLE
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State | TX
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Zip | 78521
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Country | US
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Telephone | 956-590-2029
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1105862
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License Number State | TX
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