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General NPI Number Information
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NPI Number | 1366640179
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Entity Type | Organization
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Legal Business Name | ARNOLD BARRY CALICA, MD
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 525 N 18TH ST STE 407
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City | PHOENIX
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State | AZ
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Zip | 85006-3746
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Country | US
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Telephone | 602-253-5453
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Fax | 602-253-5997
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Provider Business Mailing Address
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Address Line | PO BOX 40067
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City | MESA
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State | AZ
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Zip | 85274-0067
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Country | US
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Telephone | 602-253-5453
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Fax | 602-253-5997
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. SHAREN J CRAIG
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Credential |
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Telephone | 602-253-5453
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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 | 12548
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License Number State | AZ
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