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General NPI Number Information
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NPI Number | 1629929765
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Entity Type | Organization
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Legal Business Name | STARFISH MUSIC THERAPY LLC
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 1305 EISENHOWER RD
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City | MASCOUTAH
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State | IL
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Zip | 62258-1607
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Country | US
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Telephone | 708-310-6234
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Fax | 712-938-3128
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Provider Business Mailing Address
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Address Line | 1305 EISENHOWER RD
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City | MASCOUTAH
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State | IL
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Zip | 62258-1607
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Country | US
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Telephone | 708-310-6234
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Fax | 712-938-3128
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Authorized Official
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Title or Position | OWNER
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Name | SYLVIA PHILLIPS
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Credential | MT-BC
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Telephone | 708-310-6234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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