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General NPI Number Information
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NPI Number | 1396469672
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Entity Type | Organization
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Legal Business Name | DAVENPORT CREATIVE ARTS THERAPY, PLLC
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 211 E 43RD STREET SUITE #604
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City | NEW YORK
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State | NY
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Zip | 10017
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Country | US
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Telephone | 646-540-7286
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Fax |
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Provider Business Mailing Address
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Address Line | 211 E 43RD STREET SUITE #604
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City | NEW YORK
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State | NY
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Zip | 10017
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Country | US
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Telephone | 646-540-7286
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CLINICAL DIRECTOR
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Name | MRS. EMILY MARIE DAVENPORT
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Credential | ATR-BC,LCAT
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Telephone | 917-617-9914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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