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General NPI Number Information
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NPI Number | 1649788506
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Entity Type | Organization
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Legal Business Name | ARCH THERAPY SERVICES LLC
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2815 CARL T JONES DR SE
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City | HUNTSVILLE
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State | AL
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Zip | 35802
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Country | US
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Telephone | 256-881-6111
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Fax | 256-881-6124
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Provider Business Mailing Address
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Address Line | 15020 CARLISLE DR SE
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City | HUNTSVILLE
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State | AL
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Zip | 35803-3697
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Country | US
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Telephone | 256-694-0427
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DENISE LYNN HEFFEL
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Credential | M.A., CCC/SLP
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Telephone | 256-694-0427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH6149
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP1082
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License Number State | AL
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