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General NPI Number Information
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NPI Number | 1568169621
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Entity Type | Organization
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Legal Business Name | HARMONY MEDICAL CLINIC
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 02/09/2023
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Provider Practice Location 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 | 386-774-7246
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Fax | 386-206-1433
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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 | 386-774-7246
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Fax | 386-206-1433
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Authorized Official
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Title or Position | OFFICE MANAGER/CREDENTIALING
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Name | MRS. NYDIA NEAL
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Credential |
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Telephone | 386-837-7186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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