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NPI 1346317443

NPI 1346317443 : ARTIST OF THERAPY INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1346317443
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARTIST OF THERAPY INC 
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Dates
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    Enumeration Date     |    11/30/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1898 NW 57TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33142-3056
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    Country              |    US
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    Telephone            |    786-897-4063
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1898 NW 57TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33142-3056
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    Country              |    US
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    Telephone            |    786-897-4063
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. KEVIN JEVON COVINGTON 
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    Credential           |    CCC-SLP
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    Telephone            |    786-897-4063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical 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        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational 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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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