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General NPI Number Information
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NPI Number | 1467806166
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Entity Type | Organization
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Legal Business Name | DAVID C. ARENS, LCSW
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Dates
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Enumeration Date | 04/19/2016
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 1606 GLOUCESTER ST
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City | BRUNSWICK
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State | GA
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Zip | 31520-7145
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Country | US
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Telephone | 912-510-0669
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Fax | 912-510-0754
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Provider Business Mailing Address
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Address Line | 120 SHORE RUSH CIR
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City | ST SIMONS IS
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State | GA
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Zip | 31522-1419
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Country | US
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Telephone | 912-510-0669
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Fax | 912-510-0754
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Authorized Official
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Title or Position | CFO
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Name | CAROL KNOWLES
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Credential |
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Telephone | 912-510-0669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW004178
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License Number State | GA
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