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General NPI Number Information
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NPI Number | 1245057405
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Entity Type | Organization
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Legal Business Name | THE FINE ARTS ASSOCIATION
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Dates
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Enumeration Date | 09/20/2024
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 38660 MENTOR AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094-7797
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Country | US
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Telephone | 440-951-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 38660 MENTOR AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094-7797
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Country | US
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Telephone | 440-951-7500
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Fax |
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Authorized Official
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Title or Position | ED.CAT. ADMINISTRATIVE COORDINATOR
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Name | ALICE DANDREA
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Credential | MSW, LSW
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Telephone | 440-951-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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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 | 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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Taxonomy #3
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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