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General NPI Number Information
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NPI Number | 1891485942
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Entity Type | Individual
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Provider Name | JOAQUIN ARELLANO
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Gender | Male
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 25595 COMPTON CT APT 105
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City | HAYWARD
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State | CA
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Zip | 94544-2763
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Country | US
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Telephone | 415-990-3843
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7026
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City | OAKLAND
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State | CA
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Zip | 94601-0026
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Country | US
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Telephone | 510-269-9063
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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