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General NPI Number Information
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NPI Number | 1356385124
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Entity Type | Individual
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Provider Name | LYNN ELLEN HAYDEN CNM
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Gender | Female
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 200 PORTER DR SUITE 200
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City | SAN RAMON
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State | CA
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Zip | 94583-1587
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Country | US
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Telephone | 925-838-2108
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Fax | 925-838-9265
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Provider Business Mailing Address
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Address Line | 2185 PACHECO ST
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City | CONCORD
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State | CA
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Zip | 94520-2309
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Country | US
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Telephone | 925-676-0505
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Fax | 925-676-2814
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 200350029NPNMNP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 235648
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License Number State | CA
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