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General NPI Number Information
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NPI Number | 1912377102
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Entity Type | Organization
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Legal Business Name | HARMONY HEALS HOLISTIC COUNSELING CENTER
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 23173 LA CADENA DR
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1404
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Country | US
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Telephone | 949-837-2751
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Fax |
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Provider Business Mailing Address
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Address Line | 23173 LA CADENA DR
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1404
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FARID TABRIZY
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Credential |
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Telephone | 949-837-2751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health 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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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