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General NPI Number Information
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NPI Number | 1245846880
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Entity Type | Organization
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Legal Business Name | MCS MUSIC THERAPY
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 3014 NW 30TH WAY
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-8391
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Country | US
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Telephone | 561-703-1403
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Fax | 954-606-5293
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Provider Business Mailing Address
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Address Line | 3014 NW 30TH WAY
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-8391
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Country | US
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Telephone | 561-703-1403
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Fax | 954-606-5293
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Authorized Official
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Title or Position | OWNER & CEO
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Name | MRS. MARIANELA CORDOBA SABORIO
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Credential | MT-BC
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Telephone | 561-703-1403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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