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General NPI Number Information
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NPI Number | 1245729714
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Entity Type | Organization
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Legal Business Name | MOVING IN HARMONY
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 85 RIVER RD
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City | COLLINSVILLE
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State | CT
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Zip | 06019-3245
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Country | US
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Telephone | 860-431-0239
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 111
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City | COLLINSVILLE
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State | CT
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Zip | 06022-0111
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Country | US
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Telephone | 860-431-0239
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CARA NGUYEN
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Credential | PSY.D.
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Telephone | 860-379-4639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 002940
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License Number State | CT
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