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General NPI Number Information
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NPI Number | 1962202689
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Entity Type | Organization
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Legal Business Name | K&T HARMONY WELLNESS GROUP LLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 1R10
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City | MIAMI
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State | FL
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Zip | 33172-4511
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Country | US
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Telephone | 305-479-8611
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Fax | 850-616-0498
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Provider Business Mailing Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 1R10
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City | MIAMI
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State | FL
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Zip | 33172-4511
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Country | US
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Telephone | 305-479-8611
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Fax | 850-616-0498
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Authorized Official
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Title or Position | OWNER
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Name | TANIA TRUJILLO
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Credential |
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Telephone | 786-879-3264
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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