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General NPI Number Information
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NPI Number | 1215693262
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Entity Type | Individual
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Provider Name | MELISSA KERRY GUTTMAN MT-BC, LCAT
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Gender | Female
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 141 S 5TH ST OFC EAST
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City | BROOKLYN
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State | NY
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Zip | 11211-5597
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Country | US
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Telephone | 973-713-9474
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Fax |
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Provider Business Mailing Address
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Address Line | 141 S 5TH ST OFC EAST
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City | BROOKLYN
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State | NY
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Zip | 11211-5597
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Country | US
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Telephone | 973-604-8815
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | NY
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 100512-02
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 002726
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License Number State | NY
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