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General NPI Number Information
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NPI Number | 1497679252
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Entity Type | Organization
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Legal Business Name | HAVEN SERVICES LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 7535 CRANNELL DR
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City | BOULDER
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State | CO
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Zip | 80303-4621
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Country | US
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Telephone | 720-628-5245
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Fax |
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Provider Business Mailing Address
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Address Line | 5485 CONESTOGA CT
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City | BOULDER
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State | CO
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Zip | 80301-2752
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Country | US
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Telephone | 720-628-5245
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEIDI BOGETVEIT
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Credential | M.ED.
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Telephone | 720-628-5245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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