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General NPI Number Information
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NPI Number | 1467054403
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Entity Type | Organization
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Legal Business Name | CREATIVE REMEDIES, LLC
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 12341 E CORNELL AVE # 18
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City | AURORA
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State | CO
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Zip | 80014-3323
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Country | US
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Telephone | 972-979-4615
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Fax |
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Provider Business Mailing Address
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Address Line | 12341 E CORNELL AVE # 18
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City | AURORA
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State | CO
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Zip | 80014-3323
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Country | US
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Telephone | 972-979-4615
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | ANASTASIA CANFIELD
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Credential |
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Telephone | 972-979-4615
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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