<p>It looked like an automated thumb piano to me, but the levers are to an organ tube thingie.
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<ul><li><a href="https://en.wiktionary.org/wiki/Autophone" class="extiw" title="wikt:Autophone">Autophone</a> Company's  <b><a rel="nofollow" class="external text" href="http://www.rollerorgans.com/Roller_Organ_History.htm">Gem Roller Organ</a></b> (late 1880s–late 1920s, also known as <i><a rel="nofollow" class="external text" href="http://cobs.rollerorgans.com/cobs/home">Cob Organ</a></i>)</li></ul>
<a rel="nofollow" class="external text" href="https://www.flickr.com/people/36397453@N00">artethgray</a>
CC BY 2.0
<p><a rel="nofollow" class="external text" href="https://www.flickr.com/photos/36397453@N00/6525781977/">Gem Roller Organ</a>
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<ul><li>Uploaded by <a href="//commons.wikimedia.org/wiki/User:Clusternote" title="User:Clusternote">clusternote</a></li></ul>