Basic Information
Provider Information
NPI: 1669727889
EntityType: 2
ReplacementNPI:  
OrganizationName: ARORA CONSULTANTS LLC
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Mailing Information
Address1: PO BOX 1075
Address2:  
City: WASHOUGAL
State: WA
PostalCode: 986710924
CountryCode: US
TelephoneNumber: 7024533379
FaxNumber: 7024535741
Practice Location
Address1: 1221 HIGHLAND AVE
Address2:  
City: CLARKSTON
State: WA
PostalCode: 994032829
CountryCode: US
TelephoneNumber: 5097585511
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2012
LastUpdateDate: 06/12/2019
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AuthorizedOfficialLastName: LABRECQUE
AuthorizedOfficialFirstName: LORI
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AuthorizedOfficialTitleorPosition: ACCTS MGR
AuthorizedOfficialTelephone: 7024533799
IsSoleProprietor:  
IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XMD60226439WAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansHospitalist 

ID Information
IDTypeStateIssuerDescription
MD6022643901WAWA LICOTHER


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