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General NPI Number Information
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NPI Number | 1922923770
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Entity Type | Organization
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Legal Business Name | HAVEN HOME HEALTH, LLC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 850 N 25TH ST
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City | OZARK
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State | MO
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Zip | 65721-8033
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Country | US
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Telephone | 417-731-7055
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Fax | 888-550-3518
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Provider Business Mailing Address
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Address Line | 850 N 25TH ST
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City | OZARK
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State | MO
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Zip | 65721-8033
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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 | CEO
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Name | JOHN ROSS RAY
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Credential |
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Telephone | 417-496-5958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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