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NPI 1164887915

NPI 1164887915 : HARMONY THERAPEUTIC SERVICES : EDEN PRAIRIE, MN

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General NPI Number Information
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    NPI Number           |    1164887915
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    Entity Type          |    Organization 
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    Legal Business Name  |    HARMONY THERAPEUTIC SERVICES 
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Dates
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    Enumeration Date     |    12/21/2015
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    Last Update Date     |    12/21/2015
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Provider Practice Location Address
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    Address Line         |    6542 REGENCY LN 201
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    City                 |    EDEN PRAIRIE
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    State                |    MN
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    Zip                  |    55344-7847
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    Country              |    US
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    Telephone            |    612-554-0100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6542 REGENCY LN 201
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    City                 |    EDEN PRAIRIE
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    State                |    MN
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    Zip                  |    55344-7847
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    Country              |    US
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    Telephone            |    612-554-0100
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MARRIAGE AND FAMILY THERAPIST
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    Name                 |    MS. EMILY ELIZABETH MARRS 
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    Credential           |    LMFT
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    Telephone            |    612-554-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    2369
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    License Number State |    MN
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