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General NPI Number Information
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NPI Number | 1760823850
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Entity Type | Individual
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Provider Name | DEBB JUTER T. ARCAMO LPN
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Gender | Male
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 195 FRIES MILL RD APT # 1706
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2006
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Country | US
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Telephone | 856-302-6635
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Fax |
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Provider Business Mailing Address
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Address Line | 195 FRIES MILL RD APT # 1706
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2006
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Country | US
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Telephone | 856-302-6635
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 26NP06157700
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License Number State | NJ
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