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General NPI Number Information
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NPI Number | 1932586807
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Entity Type | Individual
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Provider Name | ANTHONY ARELLANO M.A.
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Gender | Male
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 145 LEHUA ST APT C
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City | WAHIAWA
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State | HI
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Zip | 96786-2070
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Country | US
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Telephone | 808-462-7477
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Fax |
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Provider Business Mailing Address
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Address Line | 430 HUALANI ST APT D
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City | KAILUA
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State | HI
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Zip | 96734-2287
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Country | US
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Telephone | 808-388-4748
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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