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General NPI Number Information
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NPI Number | 1922450121
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Entity Type | Organization
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Legal Business Name | CHAD ARTHUR, DDS, MS, INC
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 8540 S SEPULVEDA BLVD STE 1115
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City | LOS ANGELES
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State | CA
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Zip | 90045-3828
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Country | US
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Telephone | 310-291-3594
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Fax |
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Provider Business Mailing Address
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Address Line | 8540 S SEPULVEDA BLVD STE 1115
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City | LOS ANGELES
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State | CA
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Zip | 90045-3828
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Country | US
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Telephone | 310-291-3594
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. CHAD DAVID ARTHUR
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Credential | D.D.S., M.S.
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Telephone | 310-291-3594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 57521
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License Number State | CA
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