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General NPI Number Information
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NPI Number | 1013707892
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Entity Type | Organization
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Legal Business Name | HER HAVEN WOMEN'S CLINIC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 1910 S STAPLEY DR STE 120
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City | MESA
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State | AZ
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Zip | 85204-6676
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Country | US
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Telephone | 248-986-5798
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 S STAPLEY DR STE 120
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City | MESA
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State | AZ
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Zip | 85204-6676
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Country | US
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Telephone | 248-986-5798
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JANNIFER MCCREE
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Credential | FNP
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Telephone | 248-986-5798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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