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General NPI Number Information
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NPI Number | 1730071333
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Entity Type | Organization
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Legal Business Name | UNIQUE HAVEN HEALTHCARE LLC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 2611 S CLARK ST STE 600
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City | ARLINGTON
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State | VA
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Zip | 22202-4023
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Country | US
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Telephone | 703-215-3339
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Fax | 251-428-2239
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Provider Business Mailing Address
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Address Line | 7561 STONEHOUSE RUN DR
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City | GLEN BURNIE
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State | MD
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Zip | 21060-8469
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Country | US
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Telephone | 703-215-3339
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Fax | 251-428-2239
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | RUTH OLAITAN
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Credential |
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Telephone | 703-215-3339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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