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General NPI Number Information
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NPI Number | 1316608946
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Entity Type | Organization
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Legal Business Name | HARMONY CARE LLC
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 75 ROBERTS ST APT 3
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City | PORTLAND
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State | ME
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Zip | 04102-2891
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Country | US
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Telephone | 207-274-0525
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Fax |
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Provider Business Mailing Address
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Address Line | 75 ROBERTS ST APT 3
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City | PORTLAND
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State | ME
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Zip | 04102-2891
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Country | US
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Telephone | 207-274-0525
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MS. REBECCA MUKESHIMANA
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Credential | DSP
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Telephone | 207-274-0525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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