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General NPI Number Information
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NPI Number | 1578766986
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Entity Type | Organization
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Legal Business Name | LEBANON PLASTIC SURGERY ASSOCIATES P C
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 12/14/2012
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Provider Practice Location Address
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Address Line | 419 S 3RD ST
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City | LEBANON
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State | PA
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Zip | 17042-6204
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Country | US
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Telephone | 717-272-2212
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Fax | 717-272-2576
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Provider Business Mailing Address
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Address Line | 419 SOUTH THIRD STREET
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City | LEBANON
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State | PA
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Zip | 17042
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Country | US
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Telephone | 717-272-2212
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Fax | 717-272-2576
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAME FRANCES ARNOLD
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Credential | MD
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Telephone | 717-272-2212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD067634L
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License Number State | PA
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