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General NPI Number Information
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NPI Number | 1164911251
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Entity Type | Organization
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Legal Business Name | WYNDHAM MUSIC SOLUTIONS, INC.
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 05/04/2018
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Provider Practice Location Address
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Address Line | 1312 WARBLER DR
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City | FORNEY
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State | TX
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Zip | 75126-7756
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Country | US
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Telephone | 760-707-3337
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2551
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City | FORNEY
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State | TX
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Zip | 75126-2551
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Country | US
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Telephone | 760-707-3337
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. TIFFANY WYNDHAM
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Credential | MT-BC
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Telephone | 760-707-3337
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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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