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General NPI Number Information
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NPI Number | 1083280432
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Entity Type | Organization
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Legal Business Name | HAYES MANAGEMENT, INC.
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 1620 RANDOLPH AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105-2101
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Country | US
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Telephone | 651-478-7856
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 RANDOLPH AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105-2101
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Country | US
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Telephone | 651-478-7856
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID W. LUNDY JR.
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Credential |
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Telephone | 563-570-7510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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