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General NPI Number Information
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NPI Number | 1851087936
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Entity Type | Organization
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Legal Business Name | AHAVAH LLC
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 5505 70TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-1419
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Country | US
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Telephone | 806-441-7798
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 65725
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City | LUBBOCK
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State | TX
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Zip | 79464-5681
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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 | MS. TONI JENNINGS
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Credential | LPC
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Telephone | 806-441-7798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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