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General NPI Number Information
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NPI Number | 1932629920
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Entity Type | Individual
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Provider Name | ANTONIO ARIAS
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Gender | Male
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 140 N. WESTMONTE DRIVE SUITE 100
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714
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Country | US
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Telephone | 407-467-5797
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Fax |
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Provider Business Mailing Address
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Address Line | 140 N WESTMONTE DR STE 100
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3340
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Country | US
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Telephone | 407-467-5797
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 4341341
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License Number State | FL
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