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General NPI Number Information
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NPI Number | 1912455312
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Entity Type | Organization
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Legal Business Name | SING YOUR WAY HOME
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 405 HARWOOD RD
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City | BEDFORD
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State | TX
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Zip | 76021-4151
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Country | US
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Telephone | 817-716-3510
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Fax |
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Provider Business Mailing Address
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Address Line | 3513 BLACK BUCK TRAIL
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City | SAN ANGELO
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State | TX
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Zip | 76901-1675
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Country | US
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Telephone | 303-483-8646
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Fax |
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Authorized Official
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Title or Position | OWNER/MUSIC THERAPIST
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Name | AMY D ROGERS
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Credential | MT-BC
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Telephone | 325-812-1005
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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 | 07812
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License Number State | TX
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