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General NPI Number Information
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NPI Number | 1447401393
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Entity Type | Organization
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Legal Business Name | PATRICK R. ARDEN D.C.P.C.
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 170 E WASHINGTON ST
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City | STAYTON
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State | OR
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Zip | 97383-1755
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Country | US
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Telephone | 503-769-2801
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Fax |
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Provider Business Mailing Address
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Address Line | 170 E WASHINGTON ST
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City | STAYTON
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State | OR
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Zip | 97383-1755
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Country | US
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Telephone | 503-769-2801
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK RICHARD ARDEN
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Credential | D.C.
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Telephone | 503-769-2801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 1545
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License Number State | OR
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