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NPI 1780472910

NPI 1780472910 : ARI SALAAM LICENSED CREATIVE ARTS THERAPIST, PLLC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1780472910
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARI SALAAM LICENSED CREATIVE ARTS THERAPIST, PLLC 
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Dates
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    Enumeration Date     |    04/28/2025
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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                  |    10116-8520
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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    |    PRIVATE PRACTICE
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    Name                 |     ARI  SALAAM 
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    Credential           |    LCAT, BC-DMT
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    Telephone            |    914-863-1186
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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       |    
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    License Number State |    
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