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General NPI Number Information
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NPI Number | 1861824070
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Entity Type | Organization
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Legal Business Name | THE HARMONY PLACE ADULT DAYCARE
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 2115 TRADEWIND DR
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City | MESQUITE
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State | TX
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Zip | 75150-3308
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Country | US
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Telephone | 972-698-9900
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Fax | 972-698-0665
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Provider Business Mailing Address
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Address Line | 2115 TRADEWIND DR
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City | MESQUITE
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State | TX
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Zip | 75150-3308
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Country | US
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Telephone | 972-670-0559
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Fax | 972-698-0665
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Authorized Official
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Title or Position | OWNER
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Name | SHAREL LETREESE SULLIVAN
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Credential | NONE
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Telephone | 972-698-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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