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General NPI Number Information
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NPI Number | 1598447104
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Entity Type | Organization
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Legal Business Name | NEUROLOGIC MUSIC THERAPY, LLC
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 841 LYONS RD APT 24102
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City | COCONUT CREEK
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State | FL
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Zip | 33063-6730
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Country | US
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Telephone | 754-400-0585
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Fax | 954-953-2833
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Provider Business Mailing Address
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Address Line | 841 LYONS RD APT 24102
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City | COCONUT CREEK
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State | FL
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Zip | 33063-6730
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Country | US
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Telephone | 754-400-0585
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Fax | 954-953-2833
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TRENTON D BARRICK
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Credential | MT-BC
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Telephone | 754-400-0585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art 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 | 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 #3
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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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