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NPI 1699426593

NPI 1699426593 : AGAPE MUSIC THERAPY SERVICES, LLC. : ALTAMONTE SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1699426593
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    Entity Type          |    Organization 
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    Legal Business Name  |    AGAPE MUSIC THERAPY SERVICES, LLC. 
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Dates
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    Enumeration Date     |    01/12/2022
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    Last Update Date     |    01/12/2022
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Provider Practice Location Address
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    Address Line         |    324 OAK HILL DR 
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    City                 |    ALTAMONTE SPRINGS
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    State                |    FL
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    Zip                  |    32701-6248
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    Country              |    US
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    Telephone            |    407-545-3760
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    324 OAK HILL DR 
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    City                 |    ALTAMONTE SPRINGS
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    State                |    FL
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    Zip                  |    32701-6248
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    Country              |    US
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    Telephone            |    407-545-3760
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DELORES SUSANNE FORCE 
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    Credential           |    
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    Telephone            |    407-545-3760
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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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