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General NPI Number Information
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NPI Number | 1306737093
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Entity Type | Organization
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Legal Business Name | DIVINE HARMONY LLP
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 2201 E 46TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-1449
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Country | US
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Telephone | 317-954-8417
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Fax |
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Provider Business Mailing Address
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Address Line | 14872 BELLAMY CT
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City | FISHERS
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State | IN
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Zip | 46037-5545
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Country | US
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Telephone | 317-945-3947
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Fax | 317-945-3947
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Authorized Official
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Title or Position | CEO
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Name | DEXTER CROUCH
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Credential |
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Telephone | 317-945-3947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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