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General NPI Number Information
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NPI Number | 1326464199
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Entity Type | Organization
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Legal Business Name | HARMONY CLINIC
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 1251 S VOLUSIA AVE
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City | ORANGE CITY
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State | FL
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Zip | 32763-7026
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Country | US
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Telephone | 386-299-3144
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Fax | 386-775-1452
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Provider Business Mailing Address
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Address Line | 1948 SAXON BLVD
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City | DELTONA
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State | FL
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Zip | 32725-4582
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Country | US
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Telephone | 386-299-3144
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Fax | 386-775-1452
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | MR. HERMAN LESTER CARRERO
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Credential | DC
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Telephone | 386-299-3144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH10337
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License Number State | FL
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