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General NPI Number Information
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NPI Number | 1346419520
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Entity Type | Organization
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Legal Business Name | JEFFREY L. HAYDEN, D.C., P.C.
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 1174 N SEMINARY ST
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City | GALESBURG
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State | IL
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Zip | 61401-2858
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Country | US
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Telephone | 309-344-4988
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Fax |
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Provider Business Mailing Address
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Address Line | 1174 N SEMINARY ST
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City | GALESBURG
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State | IL
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Zip | 61401-2858
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Country | US
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Telephone | 309-344-4988
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CLINIC DIRECTOR
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Name | DR. JEFFREY L. HAYDEN
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Credential | D.C.
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Telephone | 309-344-4988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038008454
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License Number State | IL
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