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General NPI Number Information
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NPI Number | 1508132820
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Entity Type | Individual
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Provider Name | ARLEEN ELLOWAY NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 3675 RUFFIN RD STE 330
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City | SAN DIEGO
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State | CA
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Zip | 92123-1870
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Country | US
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Telephone | 858-289-7857
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Fax |
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Provider Business Mailing Address
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Address Line | 3675 RUFFIN RD STE 330
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City | SAN DIEGO
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State | CA
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Zip | 92123-1870
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Country | US
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Telephone | 602-505-1924
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP4358
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP500015513
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95011100
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License Number State | CA
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