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General NPI Number Information
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NPI Number | 1659891844
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Entity Type | Organization
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Legal Business Name | ARROW OCCUPATIONAL MEDICINE CENTER INC
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10837 LAUREL ST STE 206
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7644
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Country | US
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Telephone | 909-226-4855
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Fax |
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Provider Business Mailing Address
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Address Line | 10837 LAUREL ST STE 206
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7644
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Country | US
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Telephone | 909-226-4855
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMARILDA AMY CHRISTENSEN
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Credential | MD
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Telephone | 909-226-4855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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