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General NPI Number Information
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NPI Number | 1669217907
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Entity Type | Individual
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Provider Name | STEPHEN ARREY FNP
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Gender | Male
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Dates
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Enumeration Date | 06/27/2024
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 12640 HESPERIA RD STE D
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City | VICTORVILLE
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State | CA
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Zip | 92395-7753
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Country | US
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Telephone | 760-684-8999
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Fax |
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Provider Business Mailing Address
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Address Line | 8990 GARFIED ST 6
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 951-343-1616
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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 | 95032753
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License Number State | CA
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