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General NPI Number Information
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NPI Number | 1225171176
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Entity Type | Organization
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Legal Business Name | OPEN ARMS CARE CORPORATION
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 813 WOODVIEW DR
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City | KNOXVILLE
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State | TN
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Zip | 37912-2834
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Country | US
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Telephone | 865-938-9708
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Fax |
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Provider Business Mailing Address
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Address Line | 101 WESTPARK DR STE 140
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City | BRENTWOOD
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State | TN
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Zip | 37027-5031
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Country | US
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Telephone | 615-254-4006
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Fax | 615-254-4008
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Authorized Official
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Title or Position | CFO
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Name | JAMES WREN
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Credential |
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Telephone | 615-254-4006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | I-323-060-110
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License Number State | TN
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