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General NPI Number Information
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NPI Number | 1245985415
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Entity Type | Organization
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Legal Business Name | HARMONY AT HOME PROVIDER SERVICES LLC
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1504 SANTA ROSA RD RM 114
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City | HENRICO
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State | VA
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Zip | 23229-5109
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Country | US
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Telephone | 804-210-3103
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 SANTA ROSA RD RM 114
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City | HENRICO
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State | VA
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Zip | 23229-5109
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Country | US
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Telephone | 804-210-3103
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILL SAUNDERS
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Credential |
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Telephone | 804-677-2028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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