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General NPI Number Information
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NPI Number | 1689868077
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Entity Type | Organization
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Legal Business Name | THE ARC OF THE SHOALS
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 901 KELLER LN
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City | TUSCUMBIA
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State | AL
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Zip | 35674-1140
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Country | US
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Telephone | 256-383-1472
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Fax | 256-383-1486
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Provider Business Mailing Address
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Address Line | PO BOX 501
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City | TUSCUMBIA
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State | AL
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Zip | 35674-0501
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Country | US
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Telephone | 256-383-1472
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Fax | 256-383-1486
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DONNA AKINS
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Credential |
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Telephone | 256-383-1472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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