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General NPI Number Information
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NPI Number | 1740756774
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Entity Type | Organization
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Legal Business Name | HOMES FOR HARMONY
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 1104 STEELE LN
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4327
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Country | US
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Telephone | 210-617-3255
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 STEELE LN
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4327
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Country | US
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Telephone | 210-617-3255
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | KYLE CLUBB
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Credential |
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Telephone | 210-617-3255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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 #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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