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General NPI Number Information
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NPI Number | 1053939538
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Entity Type | Individual
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Provider Name | NICOLE CAILEIGH ARTHUR M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 520 OSBORNE RD NE STE 120
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City | FRIDLEY
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State | MN
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Zip | 55432-2718
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Country | US
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Telephone | 763-236-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 CHICAGO AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1321
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Country | US
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Telephone | 612-262-9000
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 79320
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 35761
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License Number State | OK
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