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General NPI Number Information
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NPI Number | 1184076978
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Entity Type | Individual
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Provider Name | HAYLEY EDYTHE IOSUE D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 8334 MENTOR AVE STE 100
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City | MENTOR
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State | OH
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Zip | 44060-5757
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Country | US
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Telephone | 440-357-8418
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Fax | 440-255-9400
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Provider Business Mailing Address
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Address Line | 8334 MENTOR AVE STE 100
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City | MENTOR
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State | OH
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Zip | 44060-5757
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Country | US
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Telephone | 440-357-8418
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Fax | 440-255-9400
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36.003915
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License Number State | OH
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