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NPI 1124456934

NPI 1124456934 : ARCIS HEALTHCARE, LLC : NORTH CHARLESTON, SC

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General NPI Number Information
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    NPI Number           |    1124456934
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARCIS HEALTHCARE, LLC 
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Dates
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    Enumeration Date     |    10/15/2013
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    Last Update Date     |    10/02/2018
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Provider Practice Location Address
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    Address Line         |    2880 TRICOM ST 
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    City                 |    NORTH CHARLESTON
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    State                |    SC
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    Zip                  |    29406-9171
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    Country              |    US
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    Telephone            |    843-797-5050
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    Fax                  |    843-797-3633
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Provider Business Mailing Address
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    Address Line         |    93 SPRINGVIEW LN UNIT B 
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    City                 |    SUMMERVILLE
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    State                |    SC
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    Zip                  |    29485-8143
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    Country              |    US
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    Telephone            |    843-266-4883
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    Fax                  |    843-793-5444
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     DON  BECKER 
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    Credential           |    
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    Telephone            |    843-797-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    204R00000X
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    Taxonomy Name        |    Electrodiagnostic Medicine Physician
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    License Number       |    
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207XS0114X
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    Taxonomy Name        |    Adult Reconstructive Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207XX0004X
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    Taxonomy Name        |    Orthopaedic Foot and Ankle Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    SC
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Taxonomy #9
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    Taxonomy Code        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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