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General NPI Number Information
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NPI Number | 1023396777
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Entity Type | Individual
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Provider Name | ANDREW D ARNOLD LMT
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Gender | Male
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Dates
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Enumeration Date | 07/29/2011
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 20 MAIN ST
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City | HILTON
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State | NY
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Zip | 14468-1211
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Country | US
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Telephone | 585-392-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 95 DUNBAR RD
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City | HILTON
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State | NY
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Zip | 14468-9104
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Country | US
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Telephone | 585-392-7645
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 025481
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License Number State | NY
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