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General NPI Number Information
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NPI Number | 1427030220
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Entity Type | Organization
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Legal Business Name | RICHARD ARNO NELSON
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 02/06/2012
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Provider Practice Location Address
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Address Line | 715 DOUGLAS DR
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-2764
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Country | US
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Telephone | 931-766-1918
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Fax | 931-766-0410
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Provider Business Mailing Address
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Address Line | PO BOX 219
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-0219
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Country | US
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Telephone | 931-766-1918
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Fax | 931-766-6410
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD ARNO NELSON
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Credential | RDCS, RVT, RDMS, RTR
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Telephone | 931-766-1918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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