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General NPI Number Information
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NPI Number | 1992898225
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Entity Type | Organization
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Legal Business Name | THE ARC OF THE THREE RIVERS, INC.
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1021 QUARRIER ST SUITE 200
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City | CHARLESTON
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State | WV
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Zip | 25301-2338
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Country | US
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Telephone | 304-344-3403
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Fax | 304-344-3417
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Provider Business Mailing Address
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Address Line | 1021 QUARRIER ST SUITE 200
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City | CHARLESTON
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State | WV
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Zip | 25301-2338
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Country | US
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Telephone | 304-344-3403
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Fax | 304-344-3417
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. HERSHEL FACEMYRE
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Credential |
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Telephone | 304-344-3403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | WV
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