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General NPI Number Information
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NPI Number | 1790068401
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Entity Type | Individual
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Provider Name | DAVID JOSE ARANDA LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 2225 E EDGEWOOD DR SUITE 11
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City | LAKELAND
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State | FL
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Zip | 33803-3634
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Country | US
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Telephone | 863-646-4581
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Fax | 863-937-9154
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Provider Business Mailing Address
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Address Line | PO BOX 503
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City | HIGHLAND CITY
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State | FL
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Zip | 33846-0503
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Country | US
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Telephone | 863-646-4581
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Fax | 863-937-9154
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW10266
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License Number State | FL
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