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General NPI Number Information
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NPI Number | 1043405533
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Entity Type | Organization
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Legal Business Name | HARMONY GROVE PROGRAMS, INC.
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Dates
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Enumeration Date | 09/08/2007
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Last Update Date | 09/08/2007
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Provider Practice Location Address
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Address Line | 4241 JUTLAND DR #320
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City | SAN DIEGO
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State | CA
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Zip | 92117-3663
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Country | US
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Telephone | 800-990-8052
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Fax |
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Provider Business Mailing Address
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Address Line | 639 ARTHUR AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-6210
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Country | US
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Telephone | 858-342-1514
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURIE D. MURPHY
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Credential | CEDS, CHT
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Telephone | 858-342-1514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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