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General NPI Number Information
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NPI Number | 1891963872
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Entity Type | Organization
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Legal Business Name | OPEN ARMS LLC
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 1009 E WEBB AVE
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City | BURLINGTON
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State | NC
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Zip | 27217-6657
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Country | US
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Telephone | 336-228-7662
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Fax | 336-578-0023
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Provider Business Mailing Address
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Address Line | 1009 E WEBB AVE
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City | BURLINGTON
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State | NC
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Zip | 27217-6657
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Country | US
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Telephone | 336-228-7662
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Fax | 336-578-0023
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JEAN MAJORS
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Credential |
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Telephone | 336-228-7662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | MHL001130
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License Number State | NC
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