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General NPI Number Information
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NPI Number | 1548362668
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Entity Type | Organization
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Legal Business Name | HAL N ARNOLD DMD MS PC
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 50 OLD IVY ROAD STE 100
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City | ATLANTA
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State | GA
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Zip | 30342
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Country | US
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Telephone | 404-948-1324
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Fax | 404-948-1351
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Provider Business Mailing Address
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Address Line | 50 OLD IVY ROAD STE 100
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City | ATLANTA
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State | GA
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Zip | 30342
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Country | US
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Telephone | 404-948-1324
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Fax | 404-948-1351
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Authorized Official
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Title or Position | OWNER
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Name | HAL N ARNOLD
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Credential | DMD
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Telephone | 404-948-1324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 9994
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License Number State | GA
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