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General NPI Number Information
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NPI Number | 1356689475
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Entity Type | Organization
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Legal Business Name | SECOND ARC LIFE CENTER LLC
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 311 NORTH ST STE 203
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2232
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Country | US
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Telephone | 914-468-6080
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Fax | 914-468-6078
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Provider Business Mailing Address
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Address Line | 311 NORTH ST STE 203
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2232
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Country | US
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Telephone | 914-468-6080
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Fax | 914-468-6078
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Authorized Official
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Title or Position | DIRECTOR- SECOND ARC LIFE CTR LLC
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Name | DR. PARINDA PARIKH
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Credential | M.D.
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Telephone | 914-468-6080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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Taxonomy #6
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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Taxonomy #7
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental 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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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