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General NPI Number Information
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NPI Number | 1578103867
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Entity Type | Organization
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Legal Business Name | HARMONI DENTAL CLINIC, LLC
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 1421 PEACHTREE ST NE STE A
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City | ATLANTA
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State | GA
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Zip | 30309-3040
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Country | US
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Telephone | 470-408-5161
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Fax | 470-300-0056
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Provider Business Mailing Address
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Address Line | 1421 PEACHTREE ST NE STE A
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City | ATLANTA
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State | GA
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Zip | 30309-3040
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Country | US
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Telephone | 470-408-5161
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Fax |
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | MR. ERIC RICHARD COONEY JR.
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Credential |
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Telephone | 470-408-5161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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