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General NPI Number Information
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NPI Number | 1740095959
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Entity Type | Organization
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Legal Business Name | BEYOND WORDS ART STUDIO, INC.
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 6630 EMBASSY BLVD STE B
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City | PORT RICHEY
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State | FL
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Zip | 34668-4898
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Country | US
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Telephone | 813-997-6103
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Fax | 727-484-6812
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Provider Business Mailing Address
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Address Line | 6630 EMBASSY BLVD STE B
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City | PORT RICHEY
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State | FL
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Zip | 34668-4898
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Country | US
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Telephone | 813-997-6103
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Fax | 727-484-6812
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Authorized Official
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Title or Position | PRESIDENT
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Name | STACEY M SUMMERS
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Credential | MAAT, ATR
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Telephone | 813-997-6103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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