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General NPI Number Information
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NPI Number | 1083490502
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Entity Type | Individual
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Provider Name | SHELDON HAYNES MD (DHM)
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Gender | Male
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Dates
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Enumeration Date | 09/01/2023
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 5119 NW KENDALL CT
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City | TOPEKA
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State | KS
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Zip | 66618-1269
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Country | US
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Telephone | 785-817-1893
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Fax | 785-578-0009
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Provider Business Mailing Address
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Address Line | 5119 NW KENDALL CT
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City | TOPEKA
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State | KS
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Zip | 66618-1269
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Country | US
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Telephone | 785-817-1893
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Fax | 785-578-0009
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | KS-ASCX12N
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | KS04-64104
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License Number State | KS
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