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General NPI Number Information
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NPI Number | 1730400037
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Entity Type | Individual
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Provider Name | DENISE S. ARCENEAUX M.C.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 74 E 11800 S SUITE 360
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City | DRAPER
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State | UT
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Zip | 84020-5004
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Country | US
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Telephone | 801-290-0122
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Fax |
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Provider Business Mailing Address
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Address Line | 248 GOLD LEAF CIR
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City | DRAPER
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State | UT
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Zip | 84020-5194
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Country | US
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Telephone | 801-541-2555
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 7383581-4101
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License Number State | UT
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