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General NPI Number Information
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NPI Number | 1225135577
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Entity Type | Organization
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Legal Business Name | HAYDEN PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 586 S. STATE ROAD 135 SUITE E
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City | GREENWOOD
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State | IN
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Zip | 46142-1444
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Country | US
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Telephone | 317-881-0101
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Fax | 317-881-6261
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Provider Business Mailing Address
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Address Line | 586 S. STATE ROAD 135 SUITE E
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City | GREENWOOD
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State | IN
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Zip | 46142-1444
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Country | US
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Telephone | 317-881-0101
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Fax | 317-881-6261
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMIE L. HAYDEN
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Credential | P.T.
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Telephone | 317-881-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 53000079A
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License Number State | IN
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