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General NPI Number Information
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NPI Number | 1619119104
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Entity Type | Individual
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Provider Name | CHAD M ARNOLD MFC
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Gender | Male
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 1094 CUDAHY PL
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City | SAN DIEGO
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State | CA
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Zip | 92110-3931
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Country | US
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Telephone | 619-275-0822
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Fax | 619-276-8230
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Provider Business Mailing Address
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Address Line | 1094 CUDAHY PLACE
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City | SAN DIEGO
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State | CA
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Zip | 92110-3931
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Country | US
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Telephone | 619-275-0822
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Fax | 619-276-8230
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 28893
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License Number State | CA
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