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General NPI Number Information
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NPI Number | 1306103759
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Entity Type | Organization
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Legal Business Name | ARC PRIMARY CARE, LLC.
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 2517 W. TRENTON RD.
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-475-3531
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Fax | 956-475-3541
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Provider Business Mailing Address
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Address Line | 2517 W. TRENTON RD.
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-475-3531
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Fax | 956-475-3541
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | RICHARD TROY NELSON
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Credential |
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Telephone | 956-475-3531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 007568
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 014957
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 014957
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License Number State | TX
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