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General NPI Number Information
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NPI Number | 1346640059
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Entity Type | Organization
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Legal Business Name | JV HARMONY LLC
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 2000 NE GRAND BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73111
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Country | US
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Telephone | 405-314-7588
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 NE GRAND BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73111-1828
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Country | US
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Telephone | 405-314-7588
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH CHRISTOPHER DISMUKE
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Credential | LPC
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Telephone | 405-314-7588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 5193
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5193
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License Number State | OK
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