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General NPI Number Information
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NPI Number | 1487425658
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Entity Type | Organization
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Legal Business Name | HEALING HAVEN
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 550 WATER ST STE C3
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City | SANTA CRUZ
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State | CA
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Zip | 95060-4128
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Country | US
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Telephone | 831-359-4223
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Fax | 831-603-7054
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Provider Business Mailing Address
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Address Line | 550 WATER ST STE C3
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City | SANTA CRUZ
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State | CA
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Zip | 95060-4128
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Country | US
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Telephone | 831-359-4223
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Fax | 831-603-7054
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | PHILIP HARRY CAYLOR
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Credential | LAC
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Telephone | 831-359-4223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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