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General NPI Number Information
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NPI Number | 1063571370
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Entity Type | Organization
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Legal Business Name | GERALD M HAYWARD MD PA
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 405 FREDERICK RD STE 210
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City | CATONSVILLE
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State | MD
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Zip | 21228-4647
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Country | US
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Telephone | 410-992-4300
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Fax | 410-992-9180
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Provider Business Mailing Address
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Address Line | PO BOX 999
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City | STEVENSVILLE
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State | MD
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Zip | 21666-0999
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Country | US
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Telephone | 410-992-4300
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Fax | 410-992-9180
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. GERALD MEIBO HAYWARD
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Credential | M.D.
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Telephone | 410-992-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D41836
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License Number State | MD
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