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General NPI Number Information
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NPI Number | 1518016450
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Entity Type | Individual
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Provider Name | ARTHUR WAYNE CHUPIK MSW
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 1715 PINE VALLEY RD
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City | LITTLE ROCK
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State | AR
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Zip | 72207-2605
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Country | US
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Telephone | 254-368-9699
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Fax | 501-664-8546
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Provider Business Mailing Address
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Address Line | 1715 PINE VALLEY RD
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City | LITTLE ROCK
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State | AR
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Zip | 72207-2605
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Country | US
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Telephone | 254-368-9699
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Fax | 501-664-8546
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 144
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8921
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2415-C
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0001000-000091
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 98422
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License Number State | TX
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