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NPI 1447434451

NPI 1447434451 : SUSANNE CRABTREE ARNOLD PH.D. : QUEEN CREEK, AZ

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General NPI Number Information
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    NPI Number           |    1447434451
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    Entity Type          |    Individual 
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    Provider Name        |    SUSANNE CRABTREE ARNOLD PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/27/2007
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    Last Update Date     |    12/27/2007
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Provider Practice Location Address
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    Address Line         |    18914 E SAN TAN BLVD STE 132 
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    City                 |    QUEEN CREEK
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    State                |    AZ
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    Zip                  |    85242-6490
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    Country              |    US
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    Telephone            |    480-988-7442
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    Fax                  |    480-988-4852
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Provider Business Mailing Address
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    Address Line         |    951 E SADDLE WAY 
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    City                 |    QUEEN CREEK
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    State                |    AZ
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    Zip                  |    85243-5337
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    Country              |    US
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    Telephone            |    520-510-6716
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    Fax                  |    480-988-4852
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    3316
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    License Number State |    AZ
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