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General NPI Number Information
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NPI Number | 1497925614
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Entity Type | Organization
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Legal Business Name | HARMONY HOME HEALTH CARE
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 19665 SW TUALATIN VALLEY HWY SUITE B
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City | BEAVERTON
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State | OR
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Zip | 97006-2352
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Country | US
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Telephone | 503-649-7195
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Fax | 503-649-7236
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Provider Business Mailing Address
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Address Line | 19665 SW TUALATIN VALLEY HWY SUITE B
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City | BEAVERTON
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State | OR
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Zip | 97006
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Country | US
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Telephone | 503-649-7195
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Fax | 503-649-7236
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ADELITA YIA SIBULO
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Credential | R.N.
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Telephone | 503-649-7195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 13-1398
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License Number State | OR
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