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General NPI Number Information
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NPI Number | 1548482896
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Entity Type | Organization
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Legal Business Name | CHRISTINA M. ARCO, PHD PLLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1013 B OAKHURST DRIVE
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City | CHARLESTON
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State | WV
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Zip | 25314
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Country | US
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Telephone | 304-720-7591
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Fax | 304-720-7583
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 3912
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City | CHARLESTON
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State | WV
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Zip | 25339
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Country | US
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Telephone | 304-720-7591
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Fax | 304-720-7593
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Authorized Official
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Title or Position | OWNER PSYCHOLOGIST
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Name | CHRISTINA ARCO
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Credential | PHD
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Telephone | 304-720-7591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 311
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License Number State | WV
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