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General NPI Number Information
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NPI Number | 1417644576
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Entity Type | Organization
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Legal Business Name | ARROWHEAD MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 1330 SEQUOIA DRIVE
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City | LAKE ARROWHEAD
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State | CA
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Zip | 92352
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Country | US
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Telephone | 909-374-4367
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1208
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City | CEDAR GLEN
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State | CA
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Zip | 92321-1208
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Country | US
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Telephone | 909-374-4367
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGING PHYSICIAN
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Name | GREGORY DAHLQUIST
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Credential | MD
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Telephone | 909-374-4367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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