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General NPI Number Information
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NPI Number | 1609737220
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Entity Type | Organization
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Legal Business Name | SQUARE MUSIC COMPANY
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 2332 VICKERS DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1981
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Country | US
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Telephone | 719-345-2887
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Fax |
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Provider Business Mailing Address
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Address Line | 2332 VICKERS DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1981
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Country | US
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Telephone | 719-345-2887
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Fax |
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Authorized Official
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Title or Position | MUSIC THERAPY DIRECTOR
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Name | HEATHER ELISE JOHNSON
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Credential | MA, MT-BC
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Telephone | 719-345-2887
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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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