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General NPI Number Information
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NPI Number | 1194734251
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Entity Type | Organization
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Legal Business Name | THE ARC OF WASHINGTON COUNTY, INC.
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 02/21/2018
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Provider Practice Location Address
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Address Line | 820 FLORIDA AVENUE
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City | HAGERTOWN
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State | MD
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Zip | 21740
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Country | US
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Telephone | 301-733-3550
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Fax | 301-745-5573
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Provider Business Mailing Address
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Address Line | 820 FLORIDA AVENUE
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City | HAGERTOWN
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State | MD
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Zip | 21740
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Country | US
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Telephone | 301-733-3550
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Fax | 301-745-5573
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TROY VAN SCOYOC
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Credential |
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Telephone | 301-733-3550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | MD
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