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General NPI Number Information
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NPI Number | 1710338256
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Entity Type | Organization
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Legal Business Name | ARC HEALTHCARE INC
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 460 OLD NEWPORT BLVD
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4211
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Country | US
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Telephone | 949-287-6880
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Fax | 949-258-5787
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Provider Business Mailing Address
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Address Line | 460 OLD NEWPORT BLVD
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4211
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Country | US
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Telephone | 949-287-6880
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAMIEN JOHANN BURGESS
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Credential | D.C., M.S.
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Telephone | 714-618-7880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CA31139
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A93077
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PT38468
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A93077
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License Number State | CA
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