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General NPI Number Information
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NPI Number | 1568322998
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Entity Type | Organization
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Legal Business Name | THE MUSIC MOMENT LLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 197 ASHLAND RD
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City | SUMMIT
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State | NJ
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Zip | 07901-3219
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Country | US
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Telephone | 908-312-0227
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Fax |
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Provider Business Mailing Address
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Address Line | 197 ASHLAND RD
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City | SUMMIT
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State | NJ
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Zip | 07901-3219
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Country | US
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Telephone | 908-312-0227
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. ELLEN KATHERINE DE HAVILLAND
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Credential | MT-BC
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Telephone | 908-312-0227
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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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