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General NPI Number Information
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NPI Number | 1568587376
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Entity Type | Organization
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Legal Business Name | ARBOR TEMPORARY SERVICES INC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 PINE CONE DR STE 4
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City | PALM COAST
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State | FL
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Zip | 32164-8424
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Country | US
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Telephone | 386-445-7701
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Fax | 386-446-1542
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Provider Business Mailing Address
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Address Line | PO BOX 354526
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City | PALM COAST
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State | FL
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Zip | 32135-4526
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Country | US
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Telephone | 386-445-7701
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Fax | 386-446-1542
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. ROBERT BALLLER
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Credential | CPA
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Telephone | 386-445-7701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number | 16
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License Number State | FL
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