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General NPI Number Information
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NPI Number | 1043615586
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Entity Type | Organization
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Legal Business Name | AMAR WELLNESS SERVICES, LLC
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 6556 CLARKIA DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-0285
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Country | US
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Telephone | 507-289-0385
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Fax |
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Provider Business Mailing Address
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Address Line | 6556 CLARKIA DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-0285
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Country | US
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Telephone | 507-289-0385
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | ARLEN DEAN CAREY
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Credential | PH.D., LICSW
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Telephone | 507-289-0385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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