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General NPI Number Information
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NPI Number | 1245230515
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Entity Type | Individual
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Provider Name | BRIAN ELLIOTT HALEY MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 7301A W PALMETTO PARK RD STE 305A
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City | BOCA RATON
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State | FL
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Zip | 33433-3466
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Country | US
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Telephone | 561-372-9161
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Fax | 877-651-1244
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Provider Business Mailing Address
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Address Line | 8180 NW 125TH LN
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City | PARKLAND
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State | FL
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Zip | 33076-4964
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Country | US
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Telephone | 260-458-4225
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01057598B
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME122922
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License Number State | FL
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