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NPI 1003688367

NPI 1003688367 : ARKIELA LLC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1003688367
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARKIELA LLC 
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Dates
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    Enumeration Date     |    10/30/2023
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    Last Update Date     |    01/02/2025
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Provider Practice Location Address
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    Address Line         |    1929 S NEWKIRK ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19145-2417
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    Country              |    US
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    Telephone            |    856-681-0271
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    Fax                  |    267-748-1856
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Provider Business Mailing Address
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    Address Line         |    1929 S NEWKIRK ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19145-2417
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    Country              |    US
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    Telephone            |    856-681-0271
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    Fax                  |    267-748-1856
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     PABLO  MARCOS 
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    Credential           |    
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    Telephone            |    856-681-0271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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