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General NPI Number Information
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NPI Number | 1669535993
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Entity Type | Organization
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Legal Business Name | OLICE ARNOLD JR.
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | 2171 W FLORENCE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90047-2141
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Country | US
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Telephone | 323-759-4475
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Fax | 323-759-2178
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Provider Business Mailing Address
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Address Line | 2171 W FLORENCE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90047-2141
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Country | US
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Telephone | 323-759-4475
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Fax | 323-759-2178
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Authorized Official
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Title or Position | OWNER
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Name | MR. OLICE ARNOLD JR.
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Credential | RPH
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Telephone | 323-759-4475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY36854
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License Number State | CA
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