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General NPI Number Information
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NPI Number | 1942022629
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Entity Type | Organization
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Legal Business Name | ARABESQUE MUSIC LLC
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 11/03/2024
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Provider Practice Location Address
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Address Line | 1436 S LA CIENEGA BLVD STE 212
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City | LOS ANGELES
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State | CA
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Zip | 90035-3761
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Country | US
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Telephone | 424-284-8444
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Fax |
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Provider Business Mailing Address
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Address Line | 1436 S LA CIENEGA BLVD STE 212
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City | LOS ANGELES
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State | CA
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Zip | 90035-3761
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GERVAIS LOUIS MAILLARD
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Credential |
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Telephone | 781-308-5600
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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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