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General NPI Number Information
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NPI Number | 1033298526
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Entity Type | Individual
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Provider Name | JOSEPH A HAYDU JR. DO
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 10/31/2018
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Provider Practice Location Address
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Address Line | 1555 FAIRVIEW RD
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City | WOODSTOCK
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State | VA
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Zip | 22664-2953
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Country | US
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Telephone | 540-325-1613
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Fax |
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Provider Business Mailing Address
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Address Line | 1555 FAIRVIEW RD
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City | WOODSTOCK
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State | VA
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Zip | 22664-2953
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Country | US
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Telephone | 540-325-1613
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Fax |
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | C2-0007933
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | OP00001319
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License Number State | WA
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