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General NPI Number Information
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NPI Number | 1164552964
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Entity Type | Organization
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Legal Business Name | EDWARD T. ARCY, D.O., INC.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10330 SAWMILL PKWY SUITE 100
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City | POWELL
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State | OH
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Zip | 43065-7790
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Country | US
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Telephone | 614-889-4900
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Fax | 614-889-2422
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Provider Business Mailing Address
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Address Line | 10330 SAWMILL PKWY SUITE 100
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City | POWELL
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State | OH
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Zip | 43065-7790
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Country | US
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Telephone | 614-889-4900
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Fax | 614-889-2422
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD THOMAS ARCY III
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Credential | D.O.
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Telephone | 614-889-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 34003545
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License Number State | OH
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