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General NPI Number Information
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NPI Number | 1003636937
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Entity Type | Organization
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Legal Business Name | WORLD UPSIDE DOWN ARTS STUDIO
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1200 WOODRUFF RD STE H7
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City | GREENVILLE
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State | SC
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Zip | 29607-5787
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Country | US
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Telephone | 407-401-1568
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 WOODRUFF RD STE H7
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City | GREENVILLE
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State | SC
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Zip | 29607-5787
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Country | US
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Telephone | 407-401-1568
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOANNA PUELLO
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Credential |
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Telephone | 864-775-5514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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