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General NPI Number Information
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NPI Number | 1992833784
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Entity Type | Individual
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Provider Name | JANET SUZANNE ARNOLD-CLARK M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 1670 E 120TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90059-3026
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Country | US
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Telephone | 424-338-2900
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Fax | 310-668-5394
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Provider Business Mailing Address
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Address Line | PO BOX 1924
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City | MONROVIA
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State | CA
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Zip | 91017-5924
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Country | US
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Telephone | 323-226-5032
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G078062
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080C0008X
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Taxonomy Name | Child Abuse Pediatrics Physician
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License Number | G78062
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License Number State | CA
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