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General NPI Number Information
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NPI Number | 1114263902
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Entity Type | Organization
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Legal Business Name | HAYLEY E. MAISLOS, MD, PA
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Dates
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Enumeration Date | 12/24/2012
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Last Update Date | 12/24/2012
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Provider Practice Location Address
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Address Line | 3355 W ALABAMA ST SUITE 125
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City | HOUSTON
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State | TX
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Zip | 77098-1722
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Country | US
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Telephone | 713-622-5432
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Fax |
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Provider Business Mailing Address
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Address Line | 3355 W ALABAMA ST SUITE 125
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City | HOUSTON
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State | TX
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Zip | 77098-1722
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Country | US
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Telephone | 713-622-5432
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAYLEY E MAISLOS
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Credential |
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Telephone | 713-622-5432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | P2724
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License Number State | TX
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