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General NPI Number Information
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NPI Number | 1356340541
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Entity Type | Individual
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Provider Name | LANCE LEE ARNDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 2700 MEDICAL OFFICE PL
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City | GOLDSBORO
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State | NC
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Zip | 27534-9460
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Country | US
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Telephone | 919-734-1866
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Fax | 919-736-1804
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Provider Business Mailing Address
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Address Line | PO DRAWER 1757
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City | GOLDSBORO
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State | NC
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Zip | 27533
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Country | US
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Telephone | 919-734-1866
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Fax | 919-736-1804
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 9600827
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 9600827
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 9600827
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4853845-1205
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License Number State | UT
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