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General NPI Number Information
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NPI Number | 1114937232
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Entity Type | Individual
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Provider Name | ARLA MCVICKER D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 520 S PIERCE AVE SUITE 150
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City | MASON CITY
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State | IA
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Zip | 50401-2749
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Country | US
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Telephone | 641-421-8077
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Fax | 641-494-5005
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Provider Business Mailing Address
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Address Line | 520 S. PIERCE AVENUE SUITE 150
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City | MASON CITY
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State | IA
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Zip | 50401
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Country | US
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Telephone | 641-421-8077
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Fax | 641-494-5005
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34005333
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License Number State | OH
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