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General NPI Number Information
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NPI Number | 1861959272
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Entity Type | Organization
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Legal Business Name | BEATS MUSIC MENTORING INC.
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 4424 ESTATE BLVD APT 9
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City | INDIANAPOLIS
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State | IN
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Zip | 46221-2506
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Country | US
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Telephone | 317-480-2330
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 S WHITCOMB AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46241-3326
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Country | US
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Telephone | 317-480-2330
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ULICIOUS STEFFON JONES
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Credential |
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Telephone | 317-480-2330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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