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General NPI Number Information
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NPI Number | 1376985820
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Entity Type | Organization
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Legal Business Name | ERICA J HAYES M D P A
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 07/30/2013
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Provider Practice Location Address
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Address Line | 4A BAYOU BRANDT DRIVE
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City | BEAUMONT
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State | TX
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Zip | 77706
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Country | US
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Telephone | 409-347-7262
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Fax | 409-347-8223
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Provider Business Mailing Address
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Address Line | 4A BAYOU BRANDT DRIVE
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City | BEAUMONT
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State | TX
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Zip | 77706-2612
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Country | US
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Telephone | 409-347-7262
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Fax | 409-347-8223
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | DR. ERICA J HAYES
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Credential | MD
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Telephone | 409-347-7262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | L2309
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License Number State | TX
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