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General NPI Number Information
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NPI Number | 1104417534
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Entity Type | Organization
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Legal Business Name | ARC COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 01/28/2021
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 27 EAST 3RD ST., #208
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City | FOND DU LAC
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State | WI
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Zip | 54935
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Country | US
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Telephone | 920-907-0460
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 W BELTLINE HWY STE 102
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City | MADISON
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State | WI
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Zip | 53713-2366
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Country | US
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Telephone | 608-278-2300
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | ROBIN RYAN
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Credential |
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Telephone | 608-278-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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