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General NPI Number Information
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NPI Number | 1598124927
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Entity Type | Organization
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Legal Business Name | HARMONY HEALTH, PLLC
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 4744 WE ROSS PKWY
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City | SOUTHAVEN
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State | MS
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Zip | 38671-7169
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Country | US
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Telephone | 662-609-3092
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1615
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City | SOUTHAVEN
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State | MS
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Zip | 38671-0017
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAQUITA STARKS
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Credential | PHD, FNP
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Telephone | 662-609-3092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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