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General NPI Number Information
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NPI Number | 1013356674
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Entity Type | Organization
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Legal Business Name | HARMONY PLACE LLC
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 31957 VIRGINIA WAY
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-6822
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Country | US
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Telephone | 949-533-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 23173 LA CADENA DR
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1404
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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 | MANGER
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Name | MR. FARID TABRIZY
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Credential |
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Telephone | 949-533-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 300250BP
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License Number State | CA
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