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General NPI Number Information
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NPI Number | 1518675271
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Entity Type | Individual
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Provider Name | FAITH OLIVIA ARNESON DDS
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Gender | Female
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Dates
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Enumeration Date | 11/11/2022
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 1490 W O EZELL BLVD
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City | SPARTANBURG
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State | SC
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Zip | 29301-1742
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Country | US
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Telephone | 303-916-7072
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Fax |
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Provider Business Mailing Address
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Address Line | 14950 E CENTER AVE UNIT B
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City | AURORA
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State | CO
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Zip | 80012-3837
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Country | US
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Telephone | 303-916-7072
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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 | 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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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10562
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License Number State | SC
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