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General NPI Number Information
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NPI Number | 1194752899
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Entity Type | Individual
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Provider Name | JONATHAN R ARNOW MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 157 UNION ST RADIOLOGY DEPARTMENT
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1228
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Country | US
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Telephone | 508-486-5605
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Fax | 508-486-5506
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Provider Business Mailing Address
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Address Line | 4 CAROL LN
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City | LEXINGTON
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State | MA
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Zip | 02420-4411
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Country | US
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Telephone | 508-486-5605
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Fax | 508-486-5506
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 059475
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License Number State | MA
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