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General NPI Number Information
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NPI Number | 1720245376
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Entity Type | Organization
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Legal Business Name | ARENOS, INC
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 3009 N BALLAS RD SUITE 129A
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2322
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Country | US
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Telephone | 314-567-5377
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Fax | 314-567-5376
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Provider Business Mailing Address
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Address Line | 3009 N BALLAS RD SUITE 129A
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2322
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Country | US
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Telephone | 314-567-5377
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Fax | 314-567-5376
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Authorized Official
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Title or Position | OWNER
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Name | DR. PROCESO T ARENOS JR.
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Credential | MD
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Telephone | 314-567-5377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 34824
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License Number State | MO
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