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General NPI Number Information
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NPI Number | 1457429599
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Entity Type | Organization
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Legal Business Name | ARC REHAB SERVICES, INC.
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 900 W MAIN ST
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City | LEBANON
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State | IN
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Zip | 46052-2318
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Country | US
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Telephone | 765-482-6815
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Fax | 765-482-6964
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Provider Business Mailing Address
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Address Line | 900 W MAIN ST
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City | LEBANON
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State | IN
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Zip | 46052-2318
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Country | US
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Telephone | 765-482-6815
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Fax | 765-482-6964
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. BRENT CARDIN
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Credential |
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Telephone | 765-482-6815
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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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