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General NPI Number Information
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NPI Number | 1396296943
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Entity Type | Organization
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Legal Business Name | ELAINE ARNOLD LM CPM
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 320 RENTON AVE S
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City | RENTON
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State | WA
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Zip | 98057-6016
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Country | US
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Telephone | 425-344-7703
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Fax | 425-277-9272
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Provider Business Mailing Address
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Address Line | PO BX 1127
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City | RENTON
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State | WA
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Zip | 98057
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Country | US
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Telephone | 425-344-7703
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Fax | 425-277-9272
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Authorized Official
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Title or Position | OWNER
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Name | MRS. B. ELAINE ARNOLD
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Credential | LM CPM
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Telephone | 425-344-7703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number | MW60691309
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License Number State | WA
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