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General NPI Number Information
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NPI Number | 1649411752
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Entity Type | Organization
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Legal Business Name | ART THERAPY INSTITUTE OF THE REDWOODS
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 10151 EAST RD
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City | REDWOOD VALLEY
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State | CA
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Zip | 95470-9728
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Country | US
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Telephone | 707-485-0105
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Fax | 707-485-5060
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Provider Business Mailing Address
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Address Line | 10151 EAST RD
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City | REDWOOD VALLEY
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State | CA
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Zip | 95470-9728
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Country | US
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Telephone | 707-485-0105
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Fax | 707-485-5060
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Authorized Official
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Title or Position | ART THERAPIST
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Name | LINDA M. CHAPMAN
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Credential | ATR-BC
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Telephone | 707-485-0105
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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 | 89-003
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License Number State | CA
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