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General NPI Number Information
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NPI Number | 1114592508
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Entity Type | Individual
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Provider Name | HALEY NELLENE GEORGE DO
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Gender | Female
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 5700 MONROE ST UNIT 303
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City | SYLVANIA
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State | OH
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Zip | 43560-2768
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Country | US
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Telephone | 419-473-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 6465 MONROE ST UNIT 2-314
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City | SYLVANIA
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State | OH
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Zip | 43560-1421
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Country | US
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Telephone | 218-316-1882
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 34.017753
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License Number State | OH
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