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General NPI Number Information
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NPI Number | 1235064874
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Entity Type | Individual
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Provider Name | HAYDEN STOUT DPT
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Gender | Male
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 26744 E UNIVERSITY DR STE 500
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City | AUBREY
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State | TX
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Zip | 76227-2703
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Country | US
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Telephone | 972-347-9460
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Fax |
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Provider Business Mailing Address
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Address Line | 11613 CHARLOTTE LN
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City | FRISCO
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State | TX
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Zip | 75035-8341
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Country | US
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Telephone | 972-837-7631
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3134564
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License Number State | TX
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