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General NPI Number Information
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NPI Number | 1801159025
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Entity Type | Organization
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Legal Business Name | HARMONY DEVELOPMET CENTER, INC.
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 12233 SW 55TH ST SUITE 801
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City | COOPER CITY
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State | FL
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Zip | 33330-3303
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Country | US
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Telephone | 954-766-4483
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Fax | 954-306-2388
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Provider Business Mailing Address
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Address Line | 12233 SW 55TH ST SUITE 801
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City | COOPER CITY
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State | FL
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Zip | 33330-3303
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Country | US
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Telephone | 954-766-4483
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Fax | 954-306-2388
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Authorized Official
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Title or Position | CEO
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Name | MYRIAM CAMPO GOLDMAN
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Credential |
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Telephone | 954-766-4483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | FL
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