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General NPI Number Information
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NPI Number | 1891661161
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Entity Type | Organization
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Legal Business Name | ARCHWAY BEHAVIORAL HEALTH SERVICES ADVANCED PRACTICE NURSING CORP
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 5055 N HARBOR DR STE 320
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City | SAN DIEGO
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State | CA
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Zip | 92106-2302
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Country | US
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Telephone | 619-335-2939
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Fax | 619-353-0423
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Provider Business Mailing Address
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Address Line | 5055 N HARBOR DR STE 320
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City | SAN DIEGO
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State | CA
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Zip | 92106-2302
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Country | US
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Telephone | 619-335-2939
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Fax | 619-353-0423
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | AMY CLARK
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Credential | APRN, NP
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Telephone | 619-335-2939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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