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General NPI Number Information
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NPI Number | 1902910979
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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 | 08/18/2006
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 11784 AL HIGHWAY 157
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City | VINEMONT
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State | AL
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Zip | 35179-9005
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Country | US
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Telephone | 256-775-6085
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Fax | 256-736-5984
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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 | 256-775-6085
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Fax | 256-736-5984
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN ARNOLD
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Credential | PHARMD
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Telephone | 256-775-6085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 112612
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License Number State | AL
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