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General NPI Number Information
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NPI Number | 1205441532
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Entity Type | Individual
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Provider Name | HALEY DANIEL APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 4972 LINCOLN AVE STE 101
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City | EVANSVILLE
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State | IN
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Zip | 47715-7909
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Country | US
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Telephone | 812-402-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 465 STATE ROUTE 56 E
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City | SEBREE
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State | KY
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Zip | 42455-9110
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Country | US
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Telephone | 270-635-3476
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3014157
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71010336A
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License Number State | IN
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