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General NPI Number Information
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NPI Number | 1477429504
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Entity Type | Organization
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Legal Business Name | MAKING WAVES MUSIC THERAPY LLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 7210 DOGWOOD TERRACE DR STE B
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City | PENSACOLA
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State | FL
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Zip | 32504-6709
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Country | US
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Telephone | 702-202-5454
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Fax | 850-378-5230
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Provider Business Mailing Address
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Address Line | 5420 BRANDON DR
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City | MILTON
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State | FL
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Zip | 32570-8005
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Country | US
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Telephone | 702-202-5454
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Fax | 850-378-5230
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Authorized Official
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Title or Position | OWNER & PRIMARY THERAPIST
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Name | KAYLA CONNICK
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Credential | MT-BC
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Telephone | 702-202-5454
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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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