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General NPI Number Information
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NPI Number | 1124069562
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Entity Type | Organization
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Legal Business Name | NORMAN HAYWOOD D.O.,P. C.
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 224 N WELLWOOD AVE
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City | LINDENHURST
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State | NY
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Zip | 11757-3705
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Country | US
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Telephone | 631-226-0011
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Fax | 631-226-1611
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Provider Business Mailing Address
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Address Line | 224 N WELLWOOD AVE
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City | LINDENHURST
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State | NY
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Zip | 11757-3705
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Country | US
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Telephone | 631-226-0011
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Fax | 631-226-1611
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Authorized Official
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Title or Position | OWNER
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Name | NORMAN HAYWOOD
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Credential | D.O.
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Telephone | 631-226-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 194315
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License Number State | NY
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