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General NPI Number Information
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NPI Number | 1528184330
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Entity Type | Organization
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Legal Business Name | JEFFREY K ARBUCKLE MD PC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 527 N GREAT NECK RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-4035
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Country | US
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Telephone | 757-340-8505
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Fax | 757-340-8406
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Provider Business Mailing Address
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Address Line | 527 N GREAT NECK RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-4035
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Country | US
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Telephone | 757-340-8505
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Fax | 757-340-8406
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY K. ARBUCKLE
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Credential | MD
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Telephone | 757-340-8505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101222201
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License Number State | VA
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