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General NPI Number Information
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NPI Number | 1083453229
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Entity Type | Organization
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Legal Business Name | HARMONY ACADEMY ABA
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 8220 COMMONWEALTH DR STE 101
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-5385
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Country | US
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Telephone | 952-895-7557
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Fax |
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Provider Business Mailing Address
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Address Line | 8220 COMMONWEALTH DR STE 101
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-5385
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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 | ABDIWAHID YUSUF
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Credential |
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Telephone | 507-469-1077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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