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General NPI Number Information
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NPI Number | 1831460229
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Entity Type | Organization
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Legal Business Name | HAVEN BEHAVIORAL SERVICES OF DAYTON, LLC
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 1 ELIZABETH PL STE 10B
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City | DAYTON
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State | OH
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Zip | 45417-3445
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Country | US
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Telephone | 937-234-0100
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Fax | 937-234-0101
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Provider Business Mailing Address
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Address Line | 3102 W END AVE STE 1000
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City | NASHVILLE
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State | TN
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Zip | 37203-1324
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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 | EVP
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Name | LAURA TARANTINO
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Credential |
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Telephone | 972-464-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 12-5485
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License Number State | OH
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