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General NPI Number Information
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NPI Number | 1598200875
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Entity Type | Individual
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Provider Name | MARIA AREVALO
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Gender | Female
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Dates
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Enumeration Date | 12/22/2016
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 6501 HARBISON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19149-2912
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Country | US
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Telephone | 610-519-1920
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 HARBISON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19149-2912
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Country | US
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Telephone | 866-389-2727
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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 | SP017002
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11042463
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 203581
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1201521
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 123889
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License Number State | WV
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24194516
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5023233
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License Number State | NC
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