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General NPI Number Information
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NPI Number | 1104283050
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Entity Type | Organization
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Legal Business Name | SOUND INSPIRATIONS MUSIC THERAPY, LLC
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Dates
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Enumeration Date | 01/23/2016
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Last Update Date | 01/23/2016
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Provider Practice Location Address
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Address Line | 8600 TYLER BLVD #651
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City | MENTOR
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State | OH
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Zip | 44060-4352
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Country | US
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Telephone | 440-290-9883
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 TYLER BLVD #651
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City | MENTOR
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State | OH
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Zip | 44060-4352
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Country | US
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Telephone | 440-290-9883
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LUCILLE BROWN
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Credential | MT-BC
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Telephone | 716-353-5959
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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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