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General NPI Number Information
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NPI Number | 1750728747
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Entity Type | Organization
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Legal Business Name | JAMES R. ARNESON, DDS,INC
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 506 W MARINE WAY
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City | KODIAK
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State | AK
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Zip | 99615-7318
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Country | US
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Telephone | 907-486-3269
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Fax | 907-486-3260
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Provider Business Mailing Address
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Address Line | 506 W MARINE WAY
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City | KODIAK
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State | AK
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Zip | 99615-7318
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Country | US
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Telephone | 907-486-3269
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Fax | 907-486-3260
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Authorized Official
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Title or Position | OWNER
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Name | JAMES ROBERT ARNESON
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Credential | DDS
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Telephone | 907-486-3269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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