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General NPI Number Information
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NPI Number | 1497719710
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Entity Type | Organization
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Legal Business Name | RON ARISON MD PL LLC
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 10/28/2013
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Provider Practice Location Address
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Address Line | 2438 E COMMERCIAL BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4040
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Country | US
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Telephone | 954-772-6740
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Fax | 954-772-6703
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Provider Business Mailing Address
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Address Line | 2438 E COMMERCIAL BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4040
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Country | US
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Telephone | 954-772-6740
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Fax | 954-772-6703
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Authorized Official
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Title or Position | OWNER
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Name | RON ARISON
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Credential | M.D.
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Telephone | 954-772-6740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME42608
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License Number State | FL
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