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General NPI Number Information
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NPI Number | 1093168643
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Entity Type | Organization
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Legal Business Name | ARHC FRBRYAR01 TRS LLC
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 4216 FOX RIDGE DR
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City | BRYANT
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State | AR
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Zip | 72022-8308
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Country | US
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Telephone | 501-547-3400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13267
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City | MAUMELLE
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State | AR
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Zip | 72113-0267
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JESSE GALLOWAY
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Credential |
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Telephone | 212-415-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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