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General NPI Number Information
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NPI Number | 1275498305
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Entity Type | Individual
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Provider Name | JENNIFER KNOLL MA, MT-BC
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Gender | Female
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Dates
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Enumeration Date | 12/20/2025
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 3933 HARRISON ST
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City | RIVERSIDE
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State | CA
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Zip | 92503-3523
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Country | US
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Telephone | 833-391-0505
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Fax | 951-358-4716
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Provider Business Mailing Address
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Address Line | 308 N WANDA DR
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City | FULLERTON
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State | CA
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Zip | 92833-2648
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Country | US
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Telephone | 562-477-8989
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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 | 14561
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License Number State | CA
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