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NPI 1801977020

NPI 1801977020 : KL ARNOLD ENTERPRISES, INC : MUSCLE SHOALS, AL

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General NPI Number Information
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    NPI Number           |    1801977020
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    Entity Type          |    Organization 
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    Legal Business Name  |    KL ARNOLD ENTERPRISES, INC 
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Dates
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    Enumeration Date     |    10/17/2006
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    Last Update Date     |    11/03/2011
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Provider Practice Location Address
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    Address Line         |    1001 AVALON AVE 
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    City                 |    MUSCLE SHOALS
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    State                |    AL
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    Zip                  |    35661-2401
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    Country              |    US
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    Telephone            |    256-381-8060
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1001 AVALON AVE 
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    City                 |    MUSCLE SHOALS
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    State                |    AL
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    Zip                  |    35661-2401
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. KL  ARNOLD 
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    Credential           |    
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    Telephone            |    256-381-8060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    111822
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    License Number State |    AL
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