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General NPI Number Information
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NPI Number | 1811426489
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Entity Type | Organization
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Legal Business Name | RGV MUSIC THERAPY AND WELLNESS CENTER
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 309 PROGRESS ST
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City | MERCEDES
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State | TX
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Zip | 78570-4317
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Country | US
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Telephone | 956-650-4230
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Fax |
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Provider Business Mailing Address
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Address Line | 309 PROGRESS ST
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City | MERCEDES
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State | TX
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Zip | 78570-4317
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Country | US
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Telephone | 956-625-2600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARISA DELEON
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Credential |
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Telephone | 956-625-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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