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General NPI Number Information
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NPI Number | 1891785663
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Entity Type | Individual
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Provider Name | ARTHUR CARRIZALES MD
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 1381 SOUTH PATRICK DRIVE PATRICK HEALTH CARE CLINIC
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City | PATRICK AFB
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State | FL
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Zip | 32925
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Country | US
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Telephone | 210-916-3000
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Fax | 210-295-4895
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Provider Business Mailing Address
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Address Line | 1381 SOUTH PATRICK DRIVE 45TH MEDICAL GROUP PATRICK HEALTH CARE CLINIC
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City | PATRICK AIR FORCE BASE
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State | FL
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Zip | 32925
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Country | US
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Telephone | 321-495-7174
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Fax | 210-295-4895
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F3066
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License Number State | TX
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