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NPI 1144643271

NPI 1144643271 : ARC THERAPY SERVICES, LLC : SONOMA, CA

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General NPI Number Information
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    NPI Number           |    1144643271
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARC THERAPY SERVICES, LLC 
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Dates
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    Enumeration Date     |    01/24/2014
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    Last Update Date     |    05/14/2020
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Provider Practice Location Address
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    Address Line         |    670 W NAPA ST STE B 
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    City                 |    SONOMA
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    State                |    CA
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    Zip                  |    95476-6437
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    Country              |    US
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    Telephone            |    707-939-8535
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    111 WESTWOOD PL 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-5021
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    Country              |    US
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    Telephone            |    615-221-2250
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER, REGULATORY PRACTICES
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    Name                 |     DONNIS M. EVANS 
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    Credential           |    
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    Telephone            |    615-564-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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