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General NPI Number Information
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NPI Number | 1043147242
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Entity Type | Organization
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Legal Business Name | A SAFE HAVEN MANAGEMENT
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 8 N BROAD ST E STE 201
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City | ANGIER
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State | NC
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Zip | 27501-5638
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Country | US
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Telephone | 919-400-7863
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Fax | 919-460-1895
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Provider Business Mailing Address
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Address Line | 8 N BROAD ST E STE 201
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City | ANGIER
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State | NC
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Zip | 27501-5638
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Country | US
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Telephone | 919-400-7863
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Fax | 919-460-1895
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Authorized Official
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Title or Position | OWNER
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Name | TREVOR A ULRICH
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Credential | CBLC, MA
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Telephone | 919-400-7864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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