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General NPI Number Information
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NPI Number | 1366048951
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Entity Type | Organization
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Legal Business Name | ARRYS HAVEN, LLC
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1002 TABASCO TRL
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City | ARLINGTON
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State | TX
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Zip | 76002-3041
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Country | US
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Telephone | 619-414-4303
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Fax |
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Provider Business Mailing Address
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Address Line | 707 AUDREY LN
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City | MANSFIELD
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State | TX
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Zip | 76063-5328
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Country | US
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Telephone | 619-414-4303
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Fax | 682-226-6086
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. OLUWASEYI TAMI YOUNG-HARRY
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Credential | DHA
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Telephone | 619-414-4303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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