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General NPI Number Information
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NPI Number | 1255116828
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Entity Type | Organization
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Legal Business Name | HARMONIA WELLNESS LLC
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 3653 CORTEZ RD W STE 110D
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City | BRADENTON
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State | FL
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Zip | 34210-3168
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Country | US
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Telephone | 941-347-0255
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Fax |
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Provider Business Mailing Address
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Address Line | 5838 CALLA LILLY DR
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City | SARASOTA
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State | FL
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Zip | 34232-2337
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KERI WANNER
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Credential | LMHC
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Telephone | 908-251-7533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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