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General NPI Number Information
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NPI Number | 1023932548
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Entity Type | Organization
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Legal Business Name | TRUHAVEN ADVANCED HEALTH, LLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 16350 BRUCE B DOWNS BLVD # 44654
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City | TAMPA
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State | FL
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Zip | 33646-9001
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Country | US
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Telephone | 877-817-2284
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Fax | 877-920-2777
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Provider Business Mailing Address
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Address Line | 16350 BRUCE B DOWNS BLVD # 44654
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City | TAMPA
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State | FL
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Zip | 33646-9001
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Country | US
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Telephone | 877-817-2284
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Fax | 877-920-2777
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHAWNREKA SANTIAGO
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Credential |
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Telephone | 813-517-7418
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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