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General NPI Number Information
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NPI Number | 1245249127
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Entity Type | Organization
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Legal Business Name | ARNOLD VINSON & ASSOCIATES INC.
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 763 MILTON ST N
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City | SAINT PAUL
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State | MN
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Zip | 55104-1530
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Country | US
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Telephone | 763-427-1065
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Fax | 763-427-0466
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Provider Business Mailing Address
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Address Line | 13894 HEMATITE ST NW
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City | RAMSEY
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State | MN
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Zip | 55303-4797
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Country | US
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Telephone | 763-427-1065
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Fax | 763-427-0466
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARNOLD W VINSON
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Credential | PH.D. LP
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Telephone | 763-427-1065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP1706
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License Number State | MN
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