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General NPI Number Information
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NPI Number | 1316183247
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Entity Type | Individual
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Provider Name | RYAN PAUL ARNOLD D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/23/2008
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Last Update Date | 02/28/2016
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Provider Practice Location Address
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Address Line | 110 E GUNN RD
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City | ROCHESTER
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State | MI
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Zip | 48306-1801
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Country | US
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Telephone | 248-515-1511
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Fax |
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Provider Business Mailing Address
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Address Line | 5343 ORION RD
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City | ROCHESTER
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State | MI
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Zip | 48306-2552
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Country | US
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Telephone | 248-515-1511
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 5101014186
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License Number State | MI
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