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General NPI Number Information
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NPI Number | 1609441310
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Entity Type | Organization
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Legal Business Name | HARMONY PRIMARY CARE LLC
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 640 PATRICK PL STE B
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City | BROWNSBURG
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State | IN
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Zip | 46112-2214
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Country | US
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Telephone | 317-443-4513
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 586
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City | GALLOWAY
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State | OH
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Zip | 43119-0586
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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 | CMO
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Name | ROSIE SANDHU
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Credential | NP
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Telephone | 317-456-0411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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