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General NPI Number Information
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NPI Number | 1073443933
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Entity Type | Individual
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Provider Name | HALEY HARBUCK
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Gender |
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Dates
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Enumeration Date | 05/21/2026
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Last Update Date | 05/21/2026
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Provider Practice Location Address
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Address Line | 2122 MANCHESTER EXPY
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City | COLUMBUS
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State | GA
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Zip | 31904-6878
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Country | US
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Telephone | 706-596-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3674 GA HIGHWAY 240 N
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City | MAUK
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State | GA
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Zip | 31058-3033
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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 |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN294761
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License Number State | GA
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