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General NPI Number Information
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NPI Number | 1306854641
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Entity Type | Individual
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Provider Name | GORDON M ARNOTT MD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 1319 NE 134TH ST SUITE 107
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City | VANCOUVER
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State | WA
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Zip | 98685
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Country | US
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Telephone | 360-566-4700
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Fax | 360-566-4739
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Provider Business Mailing Address
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Address Line | 1319 NE 134TH ST SUITE 107
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City | VANCOUVER
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State | WA
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Zip | 98685
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Country | US
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Telephone | 360-566-4700
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Fax | 360-566-4739
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD00038000
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0067968
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00038000
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License Number State | WA
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