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General NPI Number Information
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NPI Number | 1922769363
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Entity Type | Individual
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Provider Name | ARVIN JONATHAN OLEGARIO SIOC MSN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 930 SUNNYSLOPE RD
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City | HOLLISTER
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State | CA
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Zip | 95023-5615
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Country | US
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Telephone | 831-636-1507
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Fax |
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Provider Business Mailing Address
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Address Line | 867 CAMROSE CT
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City | GILROY
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State | CA
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Zip | 95020-3312
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Country | US
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Telephone | 408-464-6759
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Fax | 408-337-1998
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95019660
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License Number State | CA
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