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General NPI Number Information
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NPI Number | 1245376912
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Entity Type | Individual
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Provider Name | MR. DAVE EDWARD HARMON
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4010 DUPONT CIR SUITE 226
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City | LOUISVILLE
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State | KY
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Zip | 40207-4812
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Country | US
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Telephone | 502-896-8006
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 DUPONT CIR SUITE 226
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City | LOUISVILLE
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State | KY
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Zip | 40207-4812
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Country | US
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Telephone | 502-896-8006
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 74 DOM VIOLENCE
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 32 SEX OFFENDER COUN
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 418 PRO GAMBL, ACGCC
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0037
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 8027 NADAC
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 290
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License Number State | KY
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