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General NPI Number Information
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NPI Number | 1982741914
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Entity Type | Organization
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Legal Business Name | GARY L. ARENDS JR., D.O. APC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 201 S. BUENA VISTA ST. SUITE #410
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City | BURBANK
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State | CA
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Zip | 91505-4554
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Country | US
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Telephone | 818-845-5332
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Fax | 818-557-7781
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Provider Business Mailing Address
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Address Line | 201 S. BUENA VISTA ST. SUITE #410
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City | BURBANK
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State | CA
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Zip | 91505-4554
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Country | US
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Telephone | 818-845-5332
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Fax | 818-557-7781
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | GARY L. ARENDS JR.
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Credential | D.O.
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Telephone | 818-845-5332
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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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