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General NPI Number Information
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NPI Number | 1093546285
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Entity Type | Organization
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Legal Business Name | HARMONY BRIDGE LLC
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 560 60TH ST
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1329
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Country | US
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Telephone | 718-973-0677
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Fax | 862-416-2568
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Provider Business Mailing Address
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Address Line | 449 60TH ST FL 2
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-2211
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Country | US
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Telephone | 718-973-0677
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Fax | 862-416-2568
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | RAFAEL JIMENEZ
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Credential |
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Telephone | 718-973-0677
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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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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