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NPI 1558051417

NPI 1558051417 : ARI SALAAM LCAT, BC-DMT : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1558051417
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    Entity Type          |    Individual 
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    Provider Name        |    ARI SALAAM LCAT, BC-DMT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/12/2023
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    Last Update Date     |    05/16/2025
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Provider Practice Location Address
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    Address Line         |    51 N 1ST ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11249-3939
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    Country              |    US
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    Telephone            |    914-863-1186
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 8520 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10116
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    Country              |    US
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    Telephone            |    914-863-1186
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225600000X
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    Taxonomy Name        |    Dance Therapist
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    License Number       |    002820
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    License Number State |    NY
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