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General NPI Number Information
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NPI Number | 1902506546
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Entity Type | Individual
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Provider Name | MARILUZ BISQUERA ARIMAS
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Gender | Female
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 1265 SOCORRO AVE
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City | SUNNYVALE
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State | CA
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Zip | 94089-2620
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Country | US
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Telephone | 408-390-4931
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Fax | 408-900-8850
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Provider Business Mailing Address
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Address Line | 4505 MACKINAW ST
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City | UNION CITY
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State | CA
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Zip | 94587-5921
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Country | US
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Telephone | 408-390-4931
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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