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General NPI Number Information
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NPI Number | 1932181724
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Entity Type | Individual
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Provider Name | GARY L ARENDS JR. DO
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 9300 VALLEY CHILDRENS PL # FE10
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City | MADERA
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State | CA
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Zip | 93636-8761
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Country | US
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Telephone | 559-353-5941
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Fax | 559-353-5945
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Provider Business Mailing Address
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Address Line | 9300 VALLEY CHILDRENS PL # FE10
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City | MADERA
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State | CA
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Zip | 93636-8761
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Country | US
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Telephone | 559-353-5941
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Fax | 559-353-5945
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 20A8430
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License Number State | CA
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