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General NPI Number Information
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NPI Number | 1700403730
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Entity Type | Organization
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Legal Business Name | HARMONY HILLS BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 18307 BOYS RANCH RD
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City | ALTOONA
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State | FL
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Zip | 32702-9093
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Country | US
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Telephone | 352-707-1773
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6703
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City | DELRAY BEACH
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State | FL
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Zip | 33482-6703
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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 | MICHAEL ANTHONY CAMPI
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Credential |
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Telephone | 352-707-1773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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