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General NPI Number Information
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NPI Number | 1447069349
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Entity Type | Individual
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Provider Name | LARRY CHRISTOPHER ARNOLD
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Gender | Male
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 100 WILLIAM NORTHERN BLVD
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City | TULLAHOMA
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State | TN
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Zip | 37388-4754
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Country | US
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Telephone | 931-454-0489
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Fax |
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Provider Business Mailing Address
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Address Line | 205 W TAYLOR ST
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City | MANCHESTER
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State | TN
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Zip | 37355-1838
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Country | US
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Telephone | 615-785-0636
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 138540
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 39505
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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