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General NPI Number Information
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NPI Number | 1154651024
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Entity Type | Organization
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Legal Business Name | MIKE ARSOV MD PA
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 908 W MAGNOLIA ST
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City | KISSIMMEE
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State | FL
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Zip | 34741-4117
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Country | US
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Telephone | 407-933-0900
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Fax | 407-933-4774
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Provider Business Mailing Address
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Address Line | 908 W MAGNOLIA ST
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City | KISSIMMEE
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State | FL
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Zip | 34741-4117
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Country | US
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Telephone | 407-933-0900
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Fax | 407-933-4774
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Authorized Official
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Title or Position | OWNER
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Name | DR. MIKE ARSOV
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Credential | MD
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Telephone | 407-933-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 0066144
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License Number State | FL
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