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General NPI Number Information
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NPI Number | 1740103563
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Entity Type | Organization
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Legal Business Name | HAUS HAVEN COLLECTIVE CONSTRUCTION LLC
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 18711 CLOVERSTONE CIR
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City | CORNELIUS
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State | NC
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Zip | 28031-5659
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Country | US
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Telephone | 980-430-4380
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Fax |
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Provider Business Mailing Address
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Address Line | 19825-B NORTH COVE ROAD UNIT 1018
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City | CORNELIUS
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State | NC
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Zip | 28031
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Country | US
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Telephone | 980-430-4380
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. ROBERT NOOSE
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Credential |
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Telephone | 980-430-4380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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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 | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number |
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License Number State |
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