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General NPI Number Information
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NPI Number | 1225084338
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Entity Type | Organization
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Legal Business Name | ARNE K. PEDERSEN, MD, LLC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 MILL ST
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2652
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Country | US
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Telephone | 315-724-5900
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Fax | 315-724-0489
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Provider Business Mailing Address
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Address Line | 1 MILL ST
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2652
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Country | US
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Telephone | 315-724-5900
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Fax | 315-724-0489
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARNE K PEDERSEN
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Credential | M.D.
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Telephone | 315-724-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 172267
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License Number State | NY
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