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General NPI Number Information
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NPI Number | 1710422043
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Entity Type | Organization
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Legal Business Name | ARCWAY
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Dates
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Enumeration Date | 12/22/2016
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 308 COMMERCIAL DR STE 100
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City | SAVANNAH
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State | GA
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Zip | 31406-3679
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Country | US
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Telephone | 754-209-1013
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Fax | 954-272-7924
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Provider Business Mailing Address
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Address Line | 308 COMMERCIAL DR STE 100
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City | SAVANNAH
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State | GA
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Zip | 31406-3679
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Country | US
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Telephone | 754-209-1013
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Fax | 954-272-7924
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. TERRY BRUCE
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Credential |
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Telephone | 912-352-2425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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