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General NPI Number Information
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NPI Number | 1861505059
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Entity Type | Individual
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Provider Name | ARTHUR KUPERSMITH PHD., HSPP
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 101 S WASHINGTON ST
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City | MARION
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State | IN
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Zip | 46952-3867
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Country | US
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Telephone | 765-662-9971
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Fax | 765-651-6556
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Provider Business Mailing Address
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Address Line | 101 S WASHINGTON ST
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City | MARION
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State | IN
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Zip | 46952-3867
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Country | US
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Telephone | 765-662-9971
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Fax | 765-651-6556
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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 | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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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 | 103T00000X
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Taxonomy Name | Psychologist
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LIC20090165A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LIC20090165A
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License Number State | IN
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