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General NPI Number Information
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NPI Number | 1881361293
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Entity Type | Individual
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Provider Name | MR. ARTHUR MILLARD NORMAN JR.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 26652 HULL ST
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City | MENIFEE
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State | CA
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Zip | 92585-9340
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Country | US
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Telephone | 619-254-4877
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Fax | 951-301-8480
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Provider Business Mailing Address
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Address Line | 26652 HULL ST
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City | MENIFEE
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State | CA
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Zip | 92585-9340
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Country | US
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Telephone | 619-254-4877
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Fax | 951-301-8480
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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