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General NPI Number Information
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NPI Number | 1760902753
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Entity Type | Organization
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Legal Business Name | HARMONY WELLNESS GROUP INC
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 04/01/2018
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Provider Practice Location Address
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Address Line | 9150 MARSHALL ST STE 16
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City | PHILADELPHIA
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State | PA
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Zip | 19114-2217
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Country | US
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Telephone | 484-597-6516
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 UNITY ST
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City | PHILADELPHIA
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State | PA
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Zip | 19124-3107
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Country | US
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Telephone | 215-539-2470
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Fax | 215-240-6328
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Authorized Official
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Title or Position | C.E.O
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Name | GIANNA MERIAN DIAZ
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Credential |
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Telephone | 484-767-1972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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