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General NPI Number Information
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NPI Number | 1316762982
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Entity Type | Organization
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Legal Business Name | PROJECT1 MUSIC GROUP
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 15400 GRAND RIVER AVE STE 201
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City | DETROIT
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State | MI
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Zip | 48227-4124
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Country | US
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Telephone | 734-419-9098
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Fax |
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Provider Business Mailing Address
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Address Line | 11000 W MCNICHOLS RD STE 323
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City | DETROIT
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State | MI
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Zip | 48221-2393
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Country | US
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Telephone | 734-419-9098
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Fax |
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Authorized Official
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Title or Position | ORGANIZATIONAL ADMINSTRATOR
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Name | ROBIN MCINTOSH
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Credential |
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Telephone | 734-419-9098
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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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