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NPI Code Detail

MEDICARE: JOANNA RUTH ARAUJO

MEDICARE: JOANNA RUTH ARAUJO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1396180055
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA RUTH ARAUJO
Provider Business Mailing Address
First Line : PO BOX 1209
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69103-1209
Country : US
Telephone Number : 308-532-4860
Fax Number : 308-532-1157
Provider Business Practice Location Address
First Line : 110 N. BAILEY
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-5436
Country : US
Telephone Number : 308-532-4860
Fax Number : 308-532-1157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2013
Last Update Date : 05/07/2013

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Directions to “ JOANNA RUTH ARAUJO ” Practice Location

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