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General NPI Number Information
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NPI Number | 1649507963
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Entity Type | Individual
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Provider Name | SILVERIO ARENAS PH.D
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Gender | Male
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 4716 MONTE VISTA PL # 360 MOUNT VERNONN
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City | MOUNT VERNON
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State | WA
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Zip | 98273-8982
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Country | US
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Telephone | 360-661-6126
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Fax |
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Provider Business Mailing Address
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Address Line | 4716 MONTE VISTA PL PO BOX 306
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City | MOUNT VERNON
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State | WA
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Zip | 98273-8982
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Country | US
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Telephone | 360-661-6126
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Fax | 360-428-3670
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 1591
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License Number State | WA
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