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General NPI Number Information
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NPI Number | 1730990003
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Entity Type | Organization
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Legal Business Name | HARMONY MENTAL HEALTH ADVANCE NURSING PC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 3620 LONG BEACH BLVD STE C7
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City | LONG BEACH
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State | CA
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Zip | 90807-6013
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Country | US
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Telephone | 213-290-4585
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Fax |
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Provider Business Mailing Address
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Address Line | 11652 FACULTY DR
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City | NORWALK
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State | CA
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Zip | 90650-7020
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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 | OWNER
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Name | DIVYA TILVA
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Credential |
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Telephone | 213-290-4585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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