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General NPI Number Information
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NPI Number | 1003309733
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Entity Type | Organization
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Legal Business Name | HARMONY COUNSELING
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 40 AVON MEADOW LN BLDG 40
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City | AVON
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State | CT
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Zip | 06001-3753
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Country | US
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Telephone | 860-944-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 30 WYNGATE
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City | SIMSBURY
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State | CT
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Zip | 06070-1018
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Country | US
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Telephone | 860-944-1700
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ANNA POLTORAK
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Credential | LPC
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Telephone | 860-944-1700
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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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