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General NPI Number Information
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NPI Number | 1134082878
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Entity Type | Organization
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Legal Business Name | SPIRIT LED ART THERAPY LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4421 NW 39TH AVE STE 3
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City | GAINESVILLE
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State | FL
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Zip | 32606-7221
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Country | US
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Telephone | 352-380-0209
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Fax |
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Provider Business Mailing Address
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Address Line | 19923 NW 245TH TER
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-1367
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SARAH JEAN FALK
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Credential |
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Telephone | 585-703-1132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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