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General NPI Number Information
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NPI Number | 1720353584
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Entity Type | Organization
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Legal Business Name | HARMONY CENTER, INCORPORATED
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 1363 3RD ST
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City | KENTWOOD
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State | LA
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Zip | 70444-3319
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Country | US
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Telephone | 985-229-9624
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Fax |
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Provider Business Mailing Address
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Address Line | 2736 FLORIDA BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70802-2719
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Country | US
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Telephone | 985-229-9624
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | COLLIS TEMPLE
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Credential |
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Telephone | 225-383-9139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 9751
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License Number State | LA
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