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General NPI Number Information
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NPI Number | 1609744085
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Entity Type | Individual
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Provider Name | JULIE NISSA BLOCH BRIGHT MT-BC
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 7372 CHESAPEAKE CIR
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-8545
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Country | US
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Telephone | 754-224-1000
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Fax | 844-466-3889
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Provider Business Mailing Address
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Address Line | 7372 CHESAPEAKE CIR
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-8545
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Country | US
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Telephone | 754-224-1000
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Fax | 844-466-3889
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 05315
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License Number State | FL
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