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General NPI Number Information
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NPI Number | 1609057470
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Entity Type | Organization
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Legal Business Name | JOHN D ARSEN DPM INC
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 01/02/2015
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Provider Practice Location Address
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Address Line | 1251 S LAPEER RD STE 101
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City | LAKE ORION
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State | MI
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Zip | 48360-1415
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Country | US
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Telephone | 248-693-7700
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Fax | 248-693-3032
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Provider Business Mailing Address
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Address Line | 1251 S LAPEER RD STE 101
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City | LAKE ORION
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State | MI
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Zip | 48360-1415
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Country | US
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Telephone | 248-693-7700
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Fax | 248-693-3032
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | MRS. LAURIE A BODO
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Credential |
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Telephone | 248-693-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | JA400164
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License Number State | MI
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