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General NPI Number Information
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NPI Number | 1609697549
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC MUSE
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 614 MERCHANT ST
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City | EMPORIA
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State | KS
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Zip | 66801-2859
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Country | US
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Telephone | 316-217-2666
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Fax |
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Provider Business Mailing Address
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Address Line | 722 WOODLAND ST
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City | EMPORIA
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State | KS
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Zip | 66801-6459
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Country | US
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Telephone | 316-217-2666
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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 | MEGAN O'BRIEN
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Credential | LCPC
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Telephone | 316-217-2666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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