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General NPI Number Information
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NPI Number | 1144596305
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Entity Type | Individual
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Provider Name | ARNOLD JOSEPH MANDELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2012
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Last Update Date | 03/31/2012
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Provider Practice Location Address
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Address Line | 230 PROSPECT ST #33
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City | LA JOLLA
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State | CA
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Zip | 92037-4646
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Country | US
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Telephone | 828-301-1478
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Fax | 828-254-4431
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Provider Business Mailing Address
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Address Line | 230 PROSPECT ST #33
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City | LA JOLLA
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State | CA
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Zip | 92037-4646
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Country | US
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Telephone | 828-301-1478
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Fax | 828-254-4431
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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 | C21333
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0008424
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License Number State | FL
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