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NPI 1235386152

NPI 1235386152 : HAYDEN J. BEHLING PA-C : JACKSBORO, TX

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General NPI Number Information
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    NPI Number           |    1235386152
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    Entity Type          |    Individual 
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    Provider Name        |    HAYDEN J. BEHLING PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/21/2008
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    Last Update Date     |    02/07/2022
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Provider Practice Location Address
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    Address Line         |    2153 MOUNTAIN HOME RD 
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    City                 |    JACKSBORO
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    State                |    TX
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    Zip                  |    76458-3560
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    Country              |    US
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    Telephone            |    940-456-5616
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    109 REID RD 
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    City                 |    JUNCTION
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    State                |    TX
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    Zip                  |    76849-3008
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    Country              |    US
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    Telephone            |    325-446-3305
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    Fax                  |    325-446-2257
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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       |    PA06674
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    License Number State |    TX
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