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NPI 1023686367

NPI 1023686367 : NEUROMOTIF MUSIC THERAPY, LLC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1023686367
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEUROMOTIF MUSIC THERAPY, LLC 
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Dates
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    Enumeration Date     |    06/14/2021
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    Last Update Date     |    06/14/2021
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Provider Practice Location Address
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    Address Line         |    200 23RD ST APT 2 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11232-1519
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    Country              |    US
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    Telephone            |    646-820-7830
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    200 23RD ST APT 2 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11232-1519
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    Country              |    US
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    Telephone            |    610-724-2527
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MUSIC THERAPIST
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    Name                 |    MISS BROOKE  SLEMMER 
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    Credential           |    MT-BC
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    Telephone            |    646-820-7830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225A00000X
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    Taxonomy Name        |    Music Therapist
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    License Number       |    
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    License Number State |    
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