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General NPI Number Information
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NPI Number | 1740079110
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Entity Type | Organization
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Legal Business Name | HAVEN LINK, LLC.
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 1511 LATIGO LOOP
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City | LAREDO
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State | TX
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Zip | 78046-2295
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Country | US
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Telephone | 956-949-8426
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Fax |
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Provider Business Mailing Address
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Address Line | 1511 LATIGO LOOP
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City | LAREDO
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State | TX
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Zip | 78046-2295
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Country | US
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Telephone | 956-949-8426
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. NOEL ALEJANDRO JARAMILLO
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Credential |
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Telephone | 956-949-8426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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