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General NPI Number Information
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NPI Number | 1659744860
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC MELODIES MUSIC THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 921 E PROSPECT RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-1110
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Country | US
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Telephone | 970-541-4492
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Fax |
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Provider Business Mailing Address
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Address Line | 1718 SPRINGMEADOWS CT UNIT A
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City | FORT COLLINS
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State | CO
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Zip | 80525-1176
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Country | US
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Telephone | 970-541-4492
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/OWNER
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Name | JULIA WHITNEY MIGUEL
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Credential |
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Telephone | 970-541-4492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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