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General NPI Number Information
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NPI Number | 1003281908
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Entity Type | Organization
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Legal Business Name | OPEN ARMS RECOVERY CENTER
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Dates
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Enumeration Date | 12/03/2015
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Last Update Date | 12/03/2015
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Provider Practice Location Address
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Address Line | 11 YORK ST SUITE 201
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City | HANOVER
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State | PA
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Zip | 17331-3103
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Country | US
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Telephone | 717-253-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 11 YORK ST SUITE 201
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City | HANOVER
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State | PA
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Zip | 17331-3103
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Country | US
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Telephone | 717-253-7700
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. DIANE R SPONSELLER
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Credential |
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Telephone | 717-515-5493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 677082
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License Number State | PA
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