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General NPI Number Information
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NPI Number | 1619997681
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Entity Type | Individual
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Provider Name | SCOTT D ARNOLD DMD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 257 W BRANDON BLVD
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City | BRANDON
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State | FL
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Zip | 33511-5103
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Country | US
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Telephone | 813-689-1529
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Fax | 813-684-8595
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Provider Business Mailing Address
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Address Line | 257 W BRANDON BLVD
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City | BRANDON
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State | FL
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Zip | 33511-5103
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Country | US
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Telephone | 813-689-1529
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Fax | 813-684-8595
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN14255
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number | DN14255
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN14255
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License Number State | FL
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