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General NPI Number Information
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NPI Number | 1063211571
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Entity Type | Individual
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Provider Name | HAYLEY ELIZABETH JEFFERS
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 550 PEACHTREE ST NE
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City | ATLANTA
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State | GA
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Zip | 30308-2212
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Country | US
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Telephone | 912-660-9132
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Fax |
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Provider Business Mailing Address
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Address Line | 104 HALIFAX RD
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City | SAVANNAH
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State | GA
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Zip | 31410-4009
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Country | US
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Telephone | 912-660-9132
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 13268
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 13628
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License Number State | GU
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