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General NPI Number Information
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NPI Number | 1437578390
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Entity Type | Organization
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Legal Business Name | JOYFUL MUSIC THERAPY LLC
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 2435 LEE RD
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City | WINTER PARK
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State | FL
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Zip | 32789-1755
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Country | US
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Telephone | 407-489-1783
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Fax |
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Provider Business Mailing Address
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Address Line | 719 LEE RD
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City | ORLANDO
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State | FL
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Zip | 32810-5621
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Country | US
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Telephone | 407-489-1783
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS TAMELA PONDER
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Credential | MT-BC
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Telephone | 407-489-1783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 08509
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License Number State | FL
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