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General NPI Number Information
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NPI Number | 1437559705
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Entity Type | Individual
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Provider Name | JOANNA OSTRANDER MM, MT-BC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2014
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Last Update Date | 08/24/2014
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Provider Practice Location Address
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Address Line | 1290 TREMONT ST
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City | ROXBURY
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State | MA
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Zip | 02120-3432
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Country | US
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Telephone | 617-989-3171
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Fax |
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Provider Business Mailing Address
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Address Line | 143 UPHAM ST
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City | MELROSE
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State | MA
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Zip | 02176-3547
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Country | US
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Telephone | 617-910-0668
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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 | 08497
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License Number State | MA
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