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General NPI Number Information
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NPI Number | 1740105071
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Entity Type | Organization
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Legal Business Name | NEU HAVEN MEDICAL INC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 409 N RIDGEWOOD AVE
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City | EDGEWATER
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State | FL
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Zip | 32132-1662
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Country | US
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Telephone | 619-787-1346
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Fax |
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Provider Business Mailing Address
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Address Line | 409 N RIDGEWOOD AVE
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City | EDGEWATER
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State | FL
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Zip | 32132-1662
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERICA NEUBERT
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Credential | DNP, APRN
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Telephone | 619-787-1346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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