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General NPI Number Information
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NPI Number | 1215393921
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Entity Type | Organization
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Legal Business Name | CREATIVE WELLBEING WORKSHOPS
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 3912 JENIFER ST NW
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City | WASHINGTON
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State | DC
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Zip | 20015-1950
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Country | US
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Telephone | 202-352-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 3912 JENIFER ST NW
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City | WASHINGTON
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State | DC
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Zip | 20015-1950
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Country | US
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Telephone | 202-352-5225
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Fax |
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Authorized Official
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Title or Position | ART THERAPIST
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Name | REBECCA ANN WILKINSON
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Credential | LCPAT
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Telephone | 202-352-5225
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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 | ACT044
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License Number State | MD
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