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General NPI Number Information
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NPI Number | 1407170939
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Entity Type | Organization
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Legal Business Name | ARCADIA HEALTH CARE
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 03/26/2010
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Provider Practice Location Address
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Address Line | 2402 WILSON AVE APT D
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City | REDDING
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State | CA
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Zip | 96002-1740
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Country | US
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Telephone | 153-022-1237
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Fax |
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Provider Business Mailing Address
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Address Line | 2402 WILSON AVE APT D
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City | REDDING
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State | CA
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Zip | 96002-1740
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LVN2
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Name | BARBARA ANN LANG
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Credential |
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Telephone | 530-221-2373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | VN 26338
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | VN 26338
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License Number State | CA
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