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General NPI Number Information
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NPI Number | 1801245196
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Entity Type | Organization
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Legal Business Name | ARWA HEALTH GROUP
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 1401 S JOYCE ST APT 1115
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City | ARLINGTON
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State | VA
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Zip | 22202-1882
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Country | US
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Telephone | 540-498-8877
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 S JOYCE ST APT 1115
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City | ARLINGTON
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State | VA
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Zip | 22202-1882
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Country | US
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Telephone | 540-498-8877
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. THAR Y EL BAAGE
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Credential | M.D.
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Telephone | 540-498-8877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | ME119419
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 0437797
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 061063
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 201502219
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License Number State | NC
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