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General NPI Number Information
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NPI Number | 1427607324
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN MUSIC THERAPY
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 09/04/2019
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Provider Practice Location Address
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Address Line | 1036 PURDUE DR
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City | LONGMONT
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State | CO
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Zip | 80503-3650
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Country | US
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Telephone | 970-493-8999
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Fax |
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Provider Business Mailing Address
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Address Line | 1036 PURDUE DR
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City | LONGMONT
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State | CO
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Zip | 80503-3650
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Country | US
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Telephone | 970-493-8999
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH LINDER
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Credential | MT-BC, MA
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Telephone | 970-420-8307
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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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