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General NPI Number Information
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NPI Number | 1598591976
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Entity Type | Organization
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Legal Business Name | HARMONY WELLNESS CLINIC, PLLC
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 21920 BULVERDE RD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2182
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Country | US
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Telephone | 210-899-4494
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 592228
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City | SAN ANTONIO
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State | TX
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Zip | 78259-0161
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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 | AUTHORIZED OFFICIAL
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Name | OBINNA UZOWULU
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Credential | MD
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Telephone | 281-216-1040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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