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General NPI Number Information
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NPI Number | 1285964353
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Entity Type | Individual
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Provider Name | JESSICA MARIE SHAW-HAYES D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 1508 W 3RD ST
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City | SIOUX FALLS
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State | SD
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Zip | 57104-5702
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Country | US
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Telephone | 605-271-2686
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Fax |
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Provider Business Mailing Address
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Address Line | 1508 W 3RD ST
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City | SIOUX FALLS
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State | SD
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Zip | 57104-5702
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Country | US
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Telephone | 605-271-2686
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 202
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License Number State | SD
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