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General NPI Number Information
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NPI Number | 1780321034
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Entity Type | Organization
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Legal Business Name | DAILY HAVEN INC.
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 1105 N MAIN ST NW
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City | CONYERS
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State | GA
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Zip | 30012-4352
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Country | US
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Telephone | 770-761-8889
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Fax | 770-761-0855
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Provider Business Mailing Address
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Address Line | PO BOX 1084
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City | CONYERS
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State | GA
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Zip | 30012-1084
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Country | US
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Telephone | 770-761-8889
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Fax | 770-761-0855
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Authorized Official
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Title or Position | OWNER/C.E.O
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Name | SUZANN IRENE MAUGHON
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Credential |
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Telephone | 770-761-8889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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