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General NPI Number Information
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NPI Number | 1417761982
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Entity Type | Organization
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Legal Business Name | HAVEN HOSPICE LLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 4211 28TH AVE NW STE 111
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City | NORMAN
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State | OK
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Zip | 73069-8254
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Country | US
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Telephone | 405-455-2275
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Fax | 405-455-2255
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Provider Business Mailing Address
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Address Line | 4211 28TH AVE NW STE 111
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City | NORMAN
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State | OK
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Zip | 73069-8254
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Country | US
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Telephone | 405-455-2275
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Fax | 405-455-2255
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Authorized Official
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Title or Position | DIRECTOR OF BILLING MANAGEMENT
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Name | TARA ANDERSON
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Credential |
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Telephone | 405-455-2275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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