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General NPI Number Information
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NPI Number | 1114266459
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Entity Type | Organization
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Legal Business Name | ARCHE WELLNESS
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 237 6TH ST
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City | PITTSBURGH
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State | PA
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Zip | 15238-3238
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Country | US
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Telephone | 412-820-8328
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Fax | 724-820-8327
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Provider Business Mailing Address
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Address Line | 237 6TH ST
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City | PITTSBURGH
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State | PA
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Zip | 15238-3238
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Country | US
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Telephone | 412-820-8328
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Fax | 724-820-8327
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ERIN R MCCLELLAND
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Credential | M.S.
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Telephone | 412-820-8328
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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 | 707261
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License Number State | PA
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