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General NPI Number Information
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NPI Number | 1023018066
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Entity Type | Individual
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Provider Name | JORGE E ARSUAGA MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 711 LAWN AVE BLDG 1
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1575
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Country | US
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Telephone | 215-257-5578
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Fax | 215-257-1350
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Provider Business Mailing Address
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Address Line | 711 LAWN AVE BLDG 1
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1575
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Country | US
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Telephone | 215-257-5578
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Fax | 215-257-1350
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD046973L
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License Number State | PA
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