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General NPI Number Information
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NPI Number | 1083521330
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Entity Type | Organization
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Legal Business Name | HAVEN HEALTH AND WELLNESS
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 1200 LIGHT ST FL 1
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City | BALTIMORE
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State | MD
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Zip | 21230-4376
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Country | US
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Telephone | 443-717-2302
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Fax |
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Provider Business Mailing Address
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Address Line | 531 WRIGHTS LN
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City | ESSEX
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State | MD
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Zip | 21221-1641
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Country | US
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Telephone | 443-717-2302
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/NP
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Name | DR. ALLY NICOLE KRANNEBITTER
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Credential | DNP, APRN, FNP-C
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Telephone | 443-717-2302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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