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General NPI Number Information
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NPI Number | 1639471154
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Entity Type | Individual
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Provider Name | MARIETTA A. AROCENA FNP
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Gender | Female
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Dates
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Enumeration Date | 12/03/2010
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Last Update Date | 03/01/2019
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Provider Practice Location Address
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Address Line | 111 GATEWAY CENTER DR
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City | KERNERSVILLE
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State | NC
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Zip | 27284-2999
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Country | US
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Telephone | 336-904-2317
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Fax | 336-996-3254
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Provider Business Mailing Address
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Address Line | PO BOX 601843
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City | CHARLOTTE
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State | NC
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Zip | 28260-1843
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Country | US
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Telephone |
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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 | 5004988
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License Number State | NC
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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 | 5004988
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License Number State | NC
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