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General NPI Number Information
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NPI Number | 1730398967
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Entity Type | Individual
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Provider Name | KEITH ARNOLD D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 706 S 6TH ST
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City | FORT PIERCE
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State | FL
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Zip | 34950-8342
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Country | US
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Telephone | 772-466-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 SW STRATFORD WAY
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City | PALM CITY
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State | FL
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Zip | 34990-2013
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Country | US
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Telephone | 772-219-7840
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH7040
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License Number State | FL
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