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General NPI Number Information
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NPI Number | 1003115106
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Entity Type | Individual
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Provider Name | JEWEL A HAYES LAC
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Gender | Female
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 2525 CAMINO DEL RIO S STE 245
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City | SAN DIEGO
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State | CA
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Zip | 92108-3775
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Country | US
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Telephone | 619-564-8308
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Fax | 844-884-5103
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Provider Business Mailing Address
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Address Line | 1847 WHALEY AVE
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City | SAN DIEGO
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State | CA
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Zip | 92104-5755
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Country | US
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Telephone | 914-649-9583
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Fax | 844-884-5103
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 13496
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License Number State | CA
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