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NPI Code Detail

MEDICARE: MR. BRIAN LEE ARNOLD

MEDICARE: MR. BRIAN LEE ARNOLD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation PractitionerCDCA167567OH

General Provider Information

NPI Number : 1215408026
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN LEE ARNOLD
Provider Business Mailing Address
First Line : 110 HIGHLAND AVE
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-1208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 327 E MILL ST
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-2029
Country : US
Telephone Number : 740-500-1402
Fax Number : 740-500-1718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2018
Last Update Date : 12/06/2018

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