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General NPI Number Information
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NPI Number | 1083427223
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Entity Type | Organization
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Legal Business Name | VIVA LA VERDAD, PLLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 5301 DAVENPORT MNR
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City | CUMMING
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State | GA
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Zip | 30041-7042
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Country | US
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Telephone | 410-588-6495
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 DAVENPORT MNR
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City | CUMMING
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State | GA
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Zip | 30041-7042
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Country | US
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Telephone | 410-588-6495
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TOYA HAUF
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Credential | LCSW, CSW
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Telephone | 770-744-4059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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