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General NPI Number Information
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NPI Number | 1013109669
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Entity Type | Organization
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Legal Business Name | MARIO J. ARENA, M.D., P.C.
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 17 WHITE HORSE PIKE SUITE 3
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1299
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Country | US
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Telephone | 856-310-0002
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Fax | 856-310-0003
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Provider Business Mailing Address
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Address Line | 17 WHITE HORSE PIKE SUITE 3
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1299
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Country | US
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Telephone | 856-310-0002
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Fax | 856-310-0003
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Authorized Official
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Title or Position | BOOKKEEPER
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Name | MRS. PAM MCDONOUGH
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Credential |
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Telephone | 856-310-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 024494E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MA52390
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License Number State | NJ
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