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General NPI Number Information
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NPI Number | 1457870362
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Entity Type | Organization
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Legal Business Name | MUSIC THERAPY PATHWAYS-CREATIVE ARTS THERAPY, PLLC
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 80 S MAIN ST
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City | OAKFIELD
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State | NY
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Zip | 14125-1241
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Country | US
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Telephone | 585-313-3265
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Fax | 585-948-5305
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Provider Business Mailing Address
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Address Line | 80 S MAIN ST
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City | OAKFIELD
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State | NY
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Zip | 14125-1241
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Country | US
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Telephone | 585-313-3265
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Fax | 585-948-5305
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Authorized Official
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Title or Position | OWNER
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Name | MS. JENNIFER MARIE REDING
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Credential | LCAT
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Telephone | 585-313-3265
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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 | 000711-1
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License Number State | NY
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