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General NPI Number Information
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NPI Number | 1568730422
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Entity Type | Organization
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Legal Business Name | ARTHUR W MENKEN M.D., PC
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 35 COLLEGEVIEW AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-2415
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Country | US
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Telephone | 845-471-3580
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Fax | 845-471-6378
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Provider Business Mailing Address
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Address Line | 35 COLLEGEVIEW AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-2415
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Country | US
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Telephone | 845-471-3580
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Fax | 845-471-6378
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Authorized Official
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Title or Position | OWNER
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Name | MR. ARTHUR W MENKEN
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Credential | M.D.
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Telephone | 845-471-3580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 108923-1
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License Number State | NY
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