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General NPI Number Information
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NPI Number | 1427861350
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Entity Type | Organization
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Legal Business Name | HAVEN MEDICAL ASSOCIATES PA
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 5151 GATEWAY CTR STE 400
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City | FLINT
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State | MI
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Zip | 48507-3929
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Country | US
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Telephone | 810-230-4532
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Fax | 810-963-2873
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Provider Business Mailing Address
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Address Line | 5151 GATEWAY CTR STE 400
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City | FLINT
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State | MI
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Zip | 48507-3929
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Country | US
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Telephone | 810-230-4532
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Fax | 810-963-2873
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Authorized Official
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Title or Position | OWNER
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Name | SHAHEEN LAKHAN
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Credential |
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Telephone | 818-574-3062
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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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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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