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General NPI Number Information
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NPI Number | 1265485882
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Entity Type | Individual
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Provider Name | JEANNE MARIE ARNOLD DPM
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 204 E SUPERIOR ST STE 7
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City | SANDPOINT
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State | ID
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Zip | 83864-1275
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Country | US
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Telephone | 208-265-4321
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Fax | 208-265-4973
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Provider Business Mailing Address
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Address Line | 204 E SUPERIOR ST STE 7
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City | SANDPOINT
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State | ID
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Zip | 83864-1275
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Country | US
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Telephone | 208-265-4321
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Fax | 208-265-4973
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | P112
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License Number State | ID
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