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General NPI Number Information
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NPI Number | 1275487134
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Entity Type | Organization
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Legal Business Name | A SAFE HAVEN HEALTH & WELLNESS
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 8 N BROAD ST E
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City | ANGIER
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State | NC
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Zip | 27501-5654
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Country | US
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Telephone | 919-400-7863
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Fax | 919-290-4754
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Provider Business Mailing Address
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Address Line | 8 N BROAD ST E
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City | ANGIER
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State | NC
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Zip | 27501-5654
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Country | US
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Telephone | 919-400-7863
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Fax | 919-290-4754
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. TREVOR A ULRICH
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Credential | LPC
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Telephone | 919-400-7863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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