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General NPI Number Information
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NPI Number | 1457855397
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Entity Type | Individual
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Provider Name | ARTHUR E CZAROBSKI
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Gender | Male
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 5312 COUNTESS CT
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City | LAKE DALLAS
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State | TX
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Zip | 75065-2610
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Country | US
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Telephone | 708-721-0547
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Fax |
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Provider Business Mailing Address
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Address Line | 324 ASHLEY OAK LN
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City | LAKE DALLAS
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State | TX
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Zip | 75065-2203
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Country | US
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Telephone | 708-721-0547
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 2678
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License Number State | TX
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