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General NPI Number Information
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NPI Number | 1528406329
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Entity Type | Organization
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Legal Business Name | LARA JEANINE ARNDAL, M.D.
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 153 PIONEER LN SUITE C
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City | BISHOP
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State | CA
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Zip | 93514-2517
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Country | US
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Telephone | 760-873-2602
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Fax | 760-873-2750
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Provider Business Mailing Address
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Address Line | PO BOX 21530
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City | CARSON CITY
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State | NV
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Zip | 89721-1530
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Country | US
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Telephone | 775-884-2455
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Fax | 775-884-0345
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Authorized Official
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Title or Position | PROVIDER
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Name | LARA JEANINE ARNDAL
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Credential | M.D.
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Telephone | 760-873-2602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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