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General NPI Number Information
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NPI Number | 1669033924
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Entity Type | Individual
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Provider Name | BRANDY ARELLANO CNM
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Gender | Female
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 174 S CORONADO DR STE A
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-6356
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Country | US
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Telephone | 520-545-0676
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 N WYATT DR STE 260
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City | TUCSON
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State | AZ
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Zip | 85712-6118
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Country | US
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Telephone | 520-545-0680
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 226518
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License Number State | AZ
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