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General NPI Number Information
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NPI Number | 1952749798
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Entity Type | Organization
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Legal Business Name | THERAPY THROUGH THE ARTS
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 3408 BART ST
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3231
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Country | US
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Telephone | 757-399-7272
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Fax | 757-399-7273
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Provider Business Mailing Address
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Address Line | 3408 BART ST
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3231
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Country | US
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Telephone | 757-399-7272
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Fax | 757-399-7273
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Authorized Official
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Title or Position | OWNER-CEO
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Name | ALENA CAROL THOMAS
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Credential | LCSW, BCD, CSAC
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Telephone | 757-537-2619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904005968
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License Number State | VA
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