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General NPI Number Information
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NPI Number | 1164416640
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Entity Type | Individual
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Provider Name | SAMUEL H ARNOLD III D O
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 404 S BRADLEY ST
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City | WARREN
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State | AR
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Zip | 71671-3459
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Country | US
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Telephone | 870-226-3731
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 S HIGHWAY 7
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City | SPARKMAN
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State | AR
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Zip | 71763-8674
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Country | US
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Telephone | 870-807-4255
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E-2458
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License Number State | AR
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