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General NPI Number Information
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NPI Number | 1154579662
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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 | 09/09/2008
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 4012 COMMONS DRIVE SUITE 224-C
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City | DESTIN
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State | FL
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Zip | 32541-8422
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Country | US
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Telephone | 850-650-2326
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARK PLZ
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City | NASHVILLE
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State | TN
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Zip | 37203-6527
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Country | US
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Telephone | 615-344-9551
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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 | 615-278-0367
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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 | 299993615
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License Number State | FL
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