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General NPI Number Information
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NPI Number | 1457003378
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Entity Type | Organization
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Legal Business Name | HEART AND HARMONY MUSIC THERAPY LLC
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 6112 ED COADY RD
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City | FORT WORTH
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State | TX
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Zip | 76134-2505
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Country | US
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Telephone | 817-458-8813
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33913
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City | FORT WORTH
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State | TX
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Zip | 76162-3913
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Country | US
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Telephone | 817-458-8813
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | NICOLE BELSHE LANZA
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Credential | MNLM, MT-BC
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Telephone | 817-458-8813
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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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