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General NPI Number Information
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NPI Number | 1558563619
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Entity Type | Organization
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Legal Business Name | THE ARC JACKSONVILLE, INC.
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1050 N DAVIS ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6808
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Country | US
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Telephone | 904-355-0155
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Fax | 904-355-9616
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Provider Business Mailing Address
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Address Line | 1050 N DAVIS ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6808
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Country | US
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Telephone | 904-355-0155
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Fax | 904-355-9616
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MRS. JOYCE A GIBSON
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Credential |
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Telephone | 904-355-0155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | FL
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