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General NPI Number Information
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NPI Number | 1134094030
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Entity Type | Organization
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Legal Business Name | SOUNDWAVE MUSIC THERAPY
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1580 BLANDING BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1834
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Country | US
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Telephone | 912-996-5040
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Fax |
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Provider Business Mailing Address
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Address Line | 3581 CUNNINGHAM RD
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City | ORANGE PARK
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State | FL
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Zip | 32065-8228
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | KAREN HOWELL
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Credential | MT-BC
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Telephone | 912-996-5040
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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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