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General NPI Number Information
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NPI Number | 1851740252
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Entity Type | Organization
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Legal Business Name | HARMONY HOME CHILD ADVOCACY CENTER
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 910 S GRANT AVE
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City | ODESSA
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State | TX
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Zip | 79761-6610
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Country | US
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Telephone | 432-333-5233
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Fax |
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Provider Business Mailing Address
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Address Line | 910 C S GRANT
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City | ODESSA
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State | TX
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Zip | 79760
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Country | US
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Telephone | 432-333-5233
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARISOL ESPINOZA
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Credential |
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Telephone | 432-333-5233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 75834
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 62631
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License Number State | TX
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