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General NPI Number Information
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NPI Number | 1235465741
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Entity Type | Organization
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Legal Business Name | PATRICIA R. ARLEDGE, MD, PLLC
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Dates
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Enumeration Date | 10/19/2009
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Last Update Date | 10/19/2009
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Provider Practice Location Address
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Address Line | 3502 9TH ST SUITE 270
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City | LUBBOCK
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State | TX
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Zip | 79415-3300
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Country | US
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Telephone | 806-788-5598
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Fax |
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Provider Business Mailing Address
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Address Line | 3502 9TH ST SUITE 270
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City | LUBBOCK
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State | TX
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Zip | 79415-3300
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Country | US
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Telephone | 806-788-5598
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. PATRICIA R. ARLEDGE
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Credential | M.D.
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Telephone | 806-535-4886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | K9992
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License Number State | TX
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