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General NPI Number Information
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NPI Number | 1659591592
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Entity Type | Individual
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Provider Name | PHILIP KERNEY ARNOLD D.D.S., M.S.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2 S HILL ST
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City | ATHENS
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State | TN
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Zip | 37303-4273
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Country | US
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Telephone | 423-745-1101
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Fax | 423-745-9652
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Provider Business Mailing Address
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Address Line | 117 COUNTY ROAD 579
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City | ENGLEWOOD
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State | TN
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Zip | 37329-5106
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Country | US
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Telephone | 423-745-7023
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Fax |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS2245
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License Number State | TN
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