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General NPI Number Information
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NPI Number | 1578156014
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Entity Type | Individual
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Provider Name | ALISON CLAIRE PUETZ MT-BC
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Gender | Female
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 3014 NW 30TH WAY
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-8391
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Country | US
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Telephone | 561-703-1403
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Fax |
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Provider Business Mailing Address
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Address Line | 1931 SABAL PALM DR APT 205
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City | DAVIE
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State | FL
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Zip | 33324-5963
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Country | US
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Telephone | 314-378-5132
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 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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