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General NPI Number Information
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NPI Number | 1790052850
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Entity Type | Organization
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Legal Business Name | COMPASS MUSIC THERAPY, LLC
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 643 RIDGEFIELD CT
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4821
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Country | US
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Telephone | 410-969-7399
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Fax |
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Provider Business Mailing Address
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Address Line | 643 RIDGEFIELD CT
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4821
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Country | US
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Telephone | 260-602-2568
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Fax |
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Authorized Official
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Title or Position | SENIOR MUSIC THERAPIST/OWNER
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Name | MRS. JULIE EDGELL GARRISON
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Credential | MA, MT-BC
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Telephone | 260-602-2568
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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 | 06805
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License Number State | PA
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