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General NPI Number Information
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NPI Number | 1790013126
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Entity Type | Organization
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Legal Business Name | ROBERTO AREVALO-ARAUJO MD PA
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 1744 S PINELLAS AVE
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-1939
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Country | US
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Telephone | 727-942-1259
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Fax | 727-942-8628
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Provider Business Mailing Address
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Address Line | 3000 US HIGHWAY 19
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City | HOLIDAY
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State | FL
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Zip | 34691-2635
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Country | US
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Telephone | 727-849-6690
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Fax | 727-848-3771
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERTO AREVALO ARAUJO
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Credential | M.D.
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Telephone | 727-849-6690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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