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General NPI Number Information
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NPI Number | 1528090339
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Entity Type | Individual
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Provider Name | WILLIAM R ARSENAULT PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 199 BETHESDA CHURCH RD W WEST
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City | HOLTWOOD
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State | PA
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Zip | 17532-9746
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Country | US
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Telephone | 717-875-8377
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Fax |
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Provider Business Mailing Address
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Address Line | 199 BETHESDA CHURCH RD W WEST
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City | HOLTWOOD
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State | PA
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Zip | 17532-9746
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Country | US
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Telephone | 717-875-8377
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | OA002822
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C03537
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA055032
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License Number State | PA
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