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General NPI Number Information
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NPI Number | 1841385440
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Entity Type | Individual
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Provider Name | GRETCHEN L ARNOLD RD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 887 CONGRESS ST. SUITE 320
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City | PORTLAND
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State | ME
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Zip | 04102
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Country | US
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Telephone | 207-662-5522
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Fax | 207-662-5527
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Provider Business Mailing Address
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Address Line | 8 RIVERSIDE FARM DR
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City | LEE
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State | NH
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Zip | 03861-6215
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Country | US
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Telephone | 603-568-2883
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | D1520
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 0681
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License Number State | NH
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