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General NPI Number Information
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NPI Number | 1184877367
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Entity Type | Individual
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Provider Name | LAURIE MARIE HAYES PA
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Gender | Female
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Dates
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Enumeration Date | 10/31/2008
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 1001 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504
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Country | US
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Telephone | 330-744-2118
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Fax | 330-744-2110
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Provider Business Mailing Address
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Address Line | 1001 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1003
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Country | US
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Telephone | 330-744-2118
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Fax | 330-744-2110
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.003186
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 50.003186
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License Number State | OH
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