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General NPI Number Information
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NPI Number | 1386290237
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Entity Type | Organization
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Legal Business Name | HARMONIC FAMILY THERAPY INC.
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 2566 CATAMARAN WAY STE 2
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City | CHULA VISTA
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State | CA
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Zip | 91914-4533
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Country | US
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Telephone | 619-216-1121
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Fax | 619-485-9570
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Provider Business Mailing Address
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Address Line | 2566 CATAMARAN WAY STE 2
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City | CHULA VISTA
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State | CA
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Zip | 91914-4533
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Country | US
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Telephone | 619-216-1121
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Fax | 619-485-9570
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ADRIAN AVILA
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Credential | LMFT
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Telephone | 619-643-9307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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