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General NPI Number Information
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NPI Number | 1942665039
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Entity Type | Organization
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Legal Business Name | ARJUN REYES MD INC
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 893 PATRIOT DR UNIT A
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City | MOORPARK
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State | CA
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Zip | 93021-3356
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Country | US
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Telephone | 805-531-1000
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Fax | 805-531-1100
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Provider Business Mailing Address
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Address Line | 893 PATRIOT DR UNIT A
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City | MOORPARK
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State | CA
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Zip | 93021-3356
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Country | US
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Telephone | 805-531-1000
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Fax | 805-531-1100
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Authorized Official
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Title or Position | PSYCHATRIST
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Name | ARJUN REYES
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Credential |
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Telephone | 805-521-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G77173
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License Number State | CA
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