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General NPI Number Information
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NPI Number | 1790742989
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Entity Type | Organization
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Legal Business Name | WILEY & ARKIN PEDIATRICS, LLC
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Dates
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Enumeration Date | 04/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3990 STILLMAN PKWY
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City | GLEN ALLEN
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State | VA
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Zip | 23060-4167
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Country | US
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Telephone | 804-282-4210
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Fax | 804-282-4250
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Provider Business Mailing Address
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Address Line | 3990 STILLMAN PKWY
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City | GLEN ALLEN
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State | VA
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Zip | 23060-4167
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Country | US
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Telephone | 804-282-4210
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Fax | 804-282-4250
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. DAVID LAWRENCE ARKIN
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Credential | M.D.
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Telephone | 804-282-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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