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General NPI Number Information
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NPI Number | 1598910549
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Entity Type | Organization
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Legal Business Name | ARCADIAN HEALTH PLAN, INC.
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 500 12TH ST STE 300
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City | OAKLAND
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State | CA
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Zip | 94607-4087
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Country | US
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Telephone | 510-832-0311
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Fax | 510-817-1894
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Provider Business Mailing Address
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Address Line | 500 12TH ST STE 350
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City | OAKLAND
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State | CA
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Zip | 94607-5204
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Country | US
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Telephone | 510-832-0311
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Fax | 510-817-1894
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Authorized Official
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Title or Position | SR. VP AND GENERAL COUNSEL
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Name | MR. JAMES NOVELLO JR.
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Credential |
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Telephone | 510-817-1845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 12151
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 112421
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 166975
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 13794 (FOR AHP)
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | FILE NUMBER 933 0468
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 12151
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License Number State | MO
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Taxonomy #7
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 103078
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License Number State | NH
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Taxonomy #8
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 12151
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License Number State | VA
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Taxonomy #9
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 174
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License Number State | WA
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