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General NPI Number Information
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NPI Number | 1679863518
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Entity Type | Organization
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Legal Business Name | MUSIC 4 LIFE, INC.
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 2975 S RAINBOW BLVD SUITE B
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City | LAS VEGAS
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State | NV
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Zip | 89146-6242
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Country | US
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Telephone | 702-889-2881
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Fax | 702-822-1706
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Provider Business Mailing Address
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Address Line | 2975 S RAINBOW BLVD SUITE B
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City | LAS VEGAS
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State | NV
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Zip | 89146-6242
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Country | US
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Telephone | 702-889-2881
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Fax | 702-822-1706
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Authorized Official
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Title or Position | FOUNDER/PRESIDENT
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Name | MS. JUDITH ANN PINKERTON
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Credential | MT-BC/L
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Telephone | 702-889-2881
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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 | 20111131817
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License Number State | NV
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