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General NPI Number Information
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NPI Number | 1063898104
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Entity Type | Organization
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Legal Business Name | AFTON L ARNOLD
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 350 GREEN VALLEY RD
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-3927
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Country | US
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Telephone | 530-933-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 3007 ESTEPA DR UNIT E
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City | CAMERON PARK
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State | CA
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Zip | 95682-8186
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Country | US
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Telephone | 530-748-7523
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Fax |
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Authorized Official
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Title or Position | CERTIFIED MASSAGE THERAPIST
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Name | MS. AFTON ARNOLD
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Credential | CMT
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Telephone | 530-748-7523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 63981
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License Number State | CA
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