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General NPI Number Information
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NPI Number | 1376535351
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Entity Type | Individual
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Provider Name | ANTHONY HAYWOOD DO
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 22347 NORTHWESTERN PIKE
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City | ROMNEY
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State | WV
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Zip | 26757-6343
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Country | US
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Telephone | 304-822-3838
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | BAKER
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State | WV
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Zip | 26801-0097
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Country | US
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Telephone | 304-897-5915
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1482
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License Number State | WV
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