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General NPI Number Information
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NPI Number | 1265578306
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Entity Type | Organization
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Legal Business Name | DR ELOISE J HAYES PLLC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1800 W 1ST ST SUITE 109
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City | ELK CITY
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State | OK
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Zip | 73644-3133
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Country | US
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Telephone | 580-225-3999
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Fax | 580-225-3979
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Provider Business Mailing Address
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Address Line | 1800 W 1ST ST SUITE 109
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City | ELK CITY
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State | OK
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Zip | 73644-3133
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Country | US
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Telephone | 580-225-3999
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Fax | 580-225-3979
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | ELOISE J HAYES
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Credential | DO
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Telephone | 580-225-3999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4474
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License Number State | OK
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