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General NPI Number Information
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NPI Number | 1255150835
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Entity Type | Organization
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Legal Business Name | ARBA GROUP LLC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 204 REVOLUTIONARY DR
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City | HAMPTON
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State | GA
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Zip | 30228-5920
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Country | US
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Telephone | 678-274-9620
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Fax |
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Provider Business Mailing Address
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Address Line | 204 REVOLUTIONARY DR
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City | HAMPTON
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State | GA
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Zip | 30228-5920
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Country | US
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Telephone | 678-274-9620
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Fax |
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Authorized Official
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Title or Position | EXECUTOR
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Name | CHARLENE A WALKER
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Credential | BSW
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Telephone | 678-274-9620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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