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General NPI Number Information
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NPI Number | 1174955124
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Entity Type | Individual
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Provider Name | JARED DANIEL HAYES DC
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Gender | Male
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 5183 CLINTON RD STE 101
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City | STEDMAN
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State | NC
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Zip | 28391-9524
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Country | US
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Telephone | 910-401-3755
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 583
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City | STEDMAN
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State | NC
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Zip | 28391-0583
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Country | US
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Telephone | 910-401-3755
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4682
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License Number State | NC
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