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General NPI Number Information
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NPI Number | 1871109082
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Entity Type | Individual
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Provider Name | GILBERT OLIVIANO ARCIOSA
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Gender | Male
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 1064 E SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89104-3220
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Country | US
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Telephone | 725-244-4182
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Fax |
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Provider Business Mailing Address
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Address Line | 8006 ARCADIAN LN
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City | LAS VEGAS
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State | NV
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Zip | 89147-3700
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Country | US
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Telephone | 510-921-0686
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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 | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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