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General NPI Number Information
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NPI Number | 1114055795
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Entity Type | Organization
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Legal Business Name | DAVID H. HAYES, M.D., L.L.C.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 806 GLOVER AVE SUITE B
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City | ENTERPRISE
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State | AL
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Zip | 36330-2018
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Country | US
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Telephone | 334-347-0991
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Fax | 334-347-1805
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Provider Business Mailing Address
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Address Line | 806 GLOVER AVE SUITE B
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City | ENTERPRISE
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State | AL
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Zip | 36330-2018
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Country | US
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Telephone | 334-347-0991
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Fax | 334-347-1805
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Authorized Official
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Title or Position | GENERAL SURGEON
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Name | DR. DAVID H. HAYES
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Credential | M.D.
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Telephone | 334-347-0991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | MD.25124
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License Number State | AL
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