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NPI 1134512387

NPI 1134512387 : HARMONY CLINIC PA : DELTONA, FL

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General NPI Number Information
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    NPI Number           |    1134512387
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    Entity Type          |    Organization 
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    Legal Business Name  |    HARMONY CLINIC PA 
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Dates
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    Enumeration Date     |    03/12/2015
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1948 SAXON BLVD 
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    City                 |    DELTONA
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    State                |    FL
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    Zip                  |    32725
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    Country              |    US
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    Telephone            |    386-774-7246
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    Fax                  |    386-206-1433
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Provider Business Mailing Address
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    Address Line         |    1948 SAXON BLVD 
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    City                 |    DELTONA
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    State                |    FL
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    Zip                  |    32725-4582
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    Country              |    US
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    Telephone            |    386-774-7246
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    Fax                  |    386-206-1433
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. HERMAN LESTER CARRERO 
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    Credential           |    DC
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    Telephone            |    386-774-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    CH10337
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    License Number State |    FL
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