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General NPI Number Information
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NPI Number | 1356441760
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Entity Type | Organization
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Legal Business Name | THE ARC OF ST. LUCIE COUNTY, INC.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 601 OHIO AVE
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City | FORT PIERCE
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State | FL
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Zip | 34950-8150
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Country | US
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Telephone | 772-468-7879
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Fax | 772-465-7050
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Provider Business Mailing Address
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Address Line | PO BOX 1016
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City | FORT PIERCE
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State | FL
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Zip | 34954-1016
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Country | US
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Telephone | 772-468-7879
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Fax | 772-465-7050
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHERYL L. KING
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Credential |
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Telephone | 772-468-7879
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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 | F005
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License Number State | FL
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