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General NPI Number Information
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NPI Number | 1861368052
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Entity Type | Organization
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Legal Business Name | HAVEN SPRING HEALTH LLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 640 MAGENTA ST
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City | BRONX
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State | NY
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Zip | 10467-5609
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Country | US
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Telephone | 646-512-4826
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Fax |
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Provider Business Mailing Address
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Address Line | 15008 33RD AVE
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City | FLUSHING
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State | NY
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Zip | 11354-3235
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Country | US
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Telephone | 646-512-4826
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CECILIA Y LIN
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Credential |
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Telephone | 646-512-4826
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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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Taxonomy #3
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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