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General NPI Number Information
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NPI Number | 1720468499
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Entity Type | Organization
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Legal Business Name | EVELYN D. ARBOLEDA MD PC
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 205 HAMPTON HWY
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City | YORKTOWN
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State | VA
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Zip | 23693-3512
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Country | US
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Telephone | 757-865-1843
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Fax | 757-865-7485
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Provider Business Mailing Address
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Address Line | 205 HAMPTON HWY
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City | YORKTOWN
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State | VA
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Zip | 23693-3512
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Country | US
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Telephone | 757-865-1843
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Fax | 757-865-7485
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. EDWINA D SABA
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Credential |
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Telephone | 757-865-1843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | 0101033982
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License Number State | VA
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