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General NPI Number Information
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NPI Number | 1205911617
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Entity Type | Individual
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Provider Name | DEBORAH HAYDEN SLP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4001 OFFICE CT STE 305
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City | SANTA FE
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State | NM
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Zip | 87507-4930
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Country | US
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Telephone | 505-466-7710
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Fax | 505-466-7714
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Provider Business Mailing Address
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Address Line | 4001 OFFICE CT DRIVE SUITE 305
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City | SANTA FE
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State | NM
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Zip | 87507
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Country | US
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Telephone | 505-466-7710
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Fax | 505-466-7714
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 908
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License Number State | NM
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